Title Page
-
Site
-
Address
-
Completed By
-
Date & Time
-
Lift ID
-
Manufacture
-
Model
-
Lift Type
-
Rated Load
-
Lift Operation (Simplex/Duplex/ect)
-
Evidence Of SAFed Tests Within The Last 5 Years
Motor Room
-
Location
-
Clean and Tidy
-
Electrical Drawings Present
-
Motor Room Door Lockable (Outside)
-
Motor Room Door Lockable (Thumb Turn Inside)
-
Signage (H&S, Switches, Isolators and Handwinding)
-
Adequate Lighting
-
Emergency Lighting
-
Landing Barrier
-
Rubber Mat
-
Fire Extinguisher
Hydraulics
-
Location
-
Ram Type (Direct/Indirect)
-
Ram Details If Available
-
Indirect Only - Rope Sizes and Amount
-
Valve Block
-
Does The Valve Block Hold Pressure
-
Hand Pump Operational
-
Visible Leaks (Including Hose Swetting)
-
Does Overtravel Operate Before Ram Collars
-
High Pressure Operational
-
Low Pressure Operational
Traction
-
Location
-
Machine Manufacture
-
Machine Type
-
Number Of Ropes
-
Size Of Ropes
-
Roping Arrangement
-
Overrun Clearances Satisfactory
Lift Shaft
-
Clean
-
Shaft Lighting
-
Guide Fixings
-
Shaft Brackets and Switches
-
Main Rope Stretch
Lift Pit
-
Clean
-
Signage
-
Pit Prop
-
Stop Switch Accessible
-
Does the Pit Require An Additional Stop
-
Overflow Container
-
Oil Catch Trays
-
Pit Ladder
-
OSG Return Pulley
Lift Car Top
-
Car Top Clean
-
Car Top Stop Within 1m Reach
-
Test Controls Operational
-
Test Limits Operational
-
Car Top Handrail
-
Car Top/Counterweight/Ram Head Oil Pots
-
Car/Ram Head/Counterweight Roller/Shoes
-
Car Top Cabling Condition
-
Shaft Positioning Type
Lift Car
-
Clean
-
COP
-
Lighting
-
Emergency Lighting
-
Alarm
-
Alarm Under Loss Of Power
-
Autodialler
-
Door Gear Type
-
Door Gear Condition (Inc Belts, Pulleys, Ect)
-
Car Door Type
-
Car Door Condition
-
Car Door Interlock
-
Car Door Contacts
-
Car Door Aircord
-
Car Door Hanging Rollers
-
Car Door Kicking Rollers
-
Car Door Shoes
-
Door Protection Type
Landing Entrances
-
Landing Door Type
-
Landing Door Condition
-
Landing Door Locks Condition
-
Landing Door Lock Contacts
-
Landing Door Air Cords
-
Landing Door Shoes
-
Landing Door Hanging Rollers
-
Landing Door Kicking Rollers
-
Landing Door Pick Up Assembly & Rollers
-
Landing Push Stations
-
Landing Indicators
Additional Information
-
undefined
