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Lift Condition Analysis - duplicate
Lift Condition Analysis - duplicate
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Lift Condition Analysis - duplicate

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Title Page

  • Site conducted

  • *

  • Customer Name

  • Site Address

  • Contract Number

  • Date of this Report

  • Report Compiled by

Contents

  • General Equipment Details

    • Page 3
    • Page 4
    • Page 5
    • Page 6
    • Page 7
    • Page 8
    • Page 9
    • Page 10
    • Page 11
    • Page 12
    • Page 13
    • Page 14
    • Page 15
    • Page 16
    • Page 17
    • Page 18
    • Page 19
    • Page 20
    • Page 21
    • Page 22
    • Page 23
    • Page 24
    • Page 25
    • Page 26
    • Page 27
    • Page 28
    • Page 29
    • Page 30
    • Page 31
    • Page 32
    • Page 33
    • Page 34
    • Page 35
    • Page 36
    • Page 37
    • Page 38
    • Page 39
    • Page 40

  • Lift Machine Room Equipment

    • Page 3
    • Page 4
    • Page 5
    • Page 6
    • Page 7
    • Page 8
    • Page 9
    • Page 10
    • Page 11
    • Page 12
    • Page 13
    • Page 14
    • Page 15
    • Page 16
    • Page 17
    • Page 18
    • Page 19
    • Page 20
    • Page 21
    • Page 22
    • Page 23
    • Page 24
    • Page 25
    • Page 26
    • Page 27
    • Page 28
    • Page 29
    • Page 30
    • Page 31
    • Page 32
    • Page 33
    • Page 34
    • Page 35
    • Page 36
    • Page 37
    • Page 38
    • Page 39
    • Page 40

  • Lift Shaft Equipment

    • Page 3
    • Page 4
    • Page 5
    • Page 6
    • Page 7
    • Page 8
    • Page 9
    • Page 10
    • Page 11
    • Page 12
    • Page 13
    • Page 14
    • Page 15
    • Page 16
    • Page 17
    • Page 18
    • Page 19
    • Page 20
    • Page 21
    • Page 22
    • Page 23
    • Page 24
    • Page 25
    • Page 26
    • Page 27
    • Page 28
    • Page 29
    • Page 30
    • Page 31
    • Page 32
    • Page 33
    • Page 34
    • Page 35
    • Page 36
    • Page 37
    • Page 38
    • Page 39
    • Page 40

  • Lift Pit Equipment

    • Page 3
    • Page 4
    • Page 5
    • Page 6
    • Page 7
    • Page 8
    • Page 9
    • Page 10
    • Page 11
    • Page 12
    • Page 13
    • Page 14
    • Page 15
    • Page 16
    • Page 17
    • Page 18
    • Page 19
    • Page 20
    • Page 21
    • Page 22
    • Page 23
    • Page 24
    • Page 25
    • Page 26
    • Page 27
    • Page 28
    • Page 29
    • Page 30
    • Page 31
    • Page 32
    • Page 33
    • Page 34
    • Page 35
    • Page 36
    • Page 37
    • Page 38
    • Page 39
    • Page 40

  • Lift Car Equipment

    • Page 3
    • Page 4
    • Page 5
    • Page 6
    • Page 7
    • Page 8
    • Page 9
    • Page 10
    • Page 11
    • Page 12
    • Page 13
    • Page 14
    • Page 15
    • Page 16
    • Page 17
    • Page 18
    • Page 19
    • Page 20
    • Page 21
    • Page 22
    • Page 23
    • Page 24
    • Page 25
    • Page 26
    • Page 27
    • Page 28
    • Page 29
    • Page 30
    • Page 31
    • Page 32
    • Page 33
    • Page 34
    • Page 35
    • Page 36
    • Page 37
    • Page 38
    • Page 39
    • Page 40

  • Lift Landing and Fixtures

    • Page 3
    • Page 4
    • Page 5
    • Page 6
    • Page 7
    • Page 8
    • Page 9
    • Page 10
    • Page 11
    • Page 12
    • Page 13
    • Page 14
    • Page 15
    • Page 16
    • Page 17
    • Page 18
    • Page 19
    • Page 20
    • Page 21
    • Page 22
    • Page 23
    • Page 24
    • Page 25
    • Page 26
    • Page 27
    • Page 28
    • Page 29
    • Page 30
    • Page 31
    • Page 32
    • Page 33
    • Page 34
    • Page 35
    • Page 36
    • Page 37
    • Page 38
    • Page 39
    • Page 40

  • Appendix (Photographs)

    • Page 3
    • Page 4
    • Page 5
    • Page 6
    • Page 7
    • Page 8
    • Page 9
    • Page 10
    • Page 11
    • Page 12
    • Page 13
    • Page 14
    • Page 15
    • Page 16
    • Page 17
    • Page 18
    • Page 19
    • Page 20
    • Page 21
    • Page 22
    • Page 23
    • Page 24
    • Page 25
    • Page 26
    • Page 27
    • Page 28
    • Page 29
    • Page 30
    • Page 31
    • Page 32
    • Page 33
    • Page 34
    • Page 35
    • Page 36
    • Page 37
    • Page 38
    • Page 39
    • Page 40

General Equipment Details

  • Lift ID

  • Type of Lift

  • Rated Load

  • Maximum Number of Persons

  • Number of Stops

  • Rated Speed

  • Original Manaufacturer

  • Lift Serial Number

  • Year of Installation

  • Building Type

  • Lift Drive

  • Machine Room Location

  • Lift Grouping

  • Control Type

  • Control System Manufacturer

  • Special Service Tool Required

  • Lift Car Configuration

  • Car Door Type

  • Landing door Type

  • Controls and Features

  • General Condition of Equipment

  • General Notes

Lift Machine Room Equipment

  • Main Motor

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Main Motor Bearings

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Main Brake

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Brake Shoes

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Motor Wiring

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Gearbox Noise

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Gearbox Bearings

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Gearbox Oil Seals

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Condition of Gearbox Oil

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Main Drive Sheave

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Divertor Pulleys

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • DC Machine

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • DC Generator

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Controller

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Drive

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Tachometers & Encoders

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • UPS System

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Overspeed Governor

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • General Notes on Lift Machine

Lift Shaft Equipment

  • Overhead Pulleys

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Upper Limit Switches

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Lower Limit Switches

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Floor Selection Equipment

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Suspension Ropes

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • OSG/Safety Rope

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Rope Anchorages (2:1)

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Shaft Lighting

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Balance Weight Guide Shoes

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Balance Weight Frame

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Balance Weight Pulleys

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Shaft Guarding

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Trailing Cables

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Shaft Wiring

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Shaft tubing and Trunking

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Guides

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Balance Weight Guides

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • General Notes on Lift Shaft Equipment

Lift Pit Equipment

  • Governor Return Pulley

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Pit Stop Switches

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Pit Sockets and Power

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Pit Ladder

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Buffers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Balance Weight Buffers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Balance Weight Screen

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Compensating Chain Assembley

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Oil Pots/Drip Trays

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Rope Anchorages

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Hoses and Pipework

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • General Lift Pit Notes

Lift Car Equipment

  • Car Frames

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Rope Anchorages

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Pulleys

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Pulley Guarding

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Top Control Unit

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Top Switches

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Safety Gear

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Safety Gear Switch

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Guide Shoes

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Guide Lubricators

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Door Operator

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Door Clutch

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Safety Edge

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Hanger Rollers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Kicking Rollers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Bottom Door Shoes

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Door Panels

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Door Linkages

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Lattice Gates

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Shutter Gates

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Retiring Ramps

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Gate Contacts

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Bottom Tracks

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Toe Guards

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Top

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Autodailler

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Lighting

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Flooring

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Car Interior

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • General Notes on Lift Car Equipment

Lift Landing and Fixtures

  • Car Leveling Accuracy

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Door Frames

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Hanger Rollers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Door Kicking Rollers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Pick Up Rollers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Bottom Door Shoes

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Air Cord and Linkages

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Door Locks

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Automatic Closers

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Bottom Tracks

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Toe Guards/Fascias

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Lock Releases

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Door Panels

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Shutter Gates

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Landing Swing Doors

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Vision Panels

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Landing Pushes

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Landing Indicators

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Fire Control Switches

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • Full Wrap Architraves

    • Very Good
    • Good
    • Reasonable
    • Worn
    • Very Worn
    • N/A

  • General Notes on Lift Landing and Fixtures

Lift Condition Analysis - duplicate
Anonymous

Lift Condition Analysis - duplicate

Use this Template
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