Title Page
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Site Address
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Lift Ref
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Date
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Engineer
Lift Car
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Door open button
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Stop switches
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COP including buttons
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Sills and car floor
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Car lighting
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Emergency lighting
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Car alarm bell/siren
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Autodialler
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Safety edges/photocell
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Car vision panels and glass car doors
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Car enclosure
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Ventilation
Top of Car and shaft
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Top-of-car stop switch
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Car top light and outlet
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Car top control
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Top-of-car clearance and refuge space
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Normal terminal stopping device
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Final and emergency terminal stopping devices
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Car leveling and anti-creep devices
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Floor, and emergency numbering
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Windows/projections/setbacks/recesses
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Hoistway clearances
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Multiple hoistway
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Traveling cables and junction boxes
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Door and gate equipment
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Car frame
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Guide rails, fastening and equipment
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Governor rope
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Wire rope fastening and hitch plate
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Suspension rope
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Top counterweight clearance
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Car, overhead, and divertor sheaves
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Broken rope, chain, or tape switch
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Crosshead data plate
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Counterweight/counterweight buffer
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Counterweight safeties
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Compensating ropes and chains
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Guide shoes
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Safety gear
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Overspeed governor
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Motor/hydraulic tank
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Shaft lighting
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Shaft safety switches
Machine Room
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Access to machine space
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Headroom
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Motoroom lighting
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Machine space
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Housekeeping
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Ventilation
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Fire extinguisher
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Pipes, wiring, and ducts
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Guarding of exposed equipment
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Correct labels and signage
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Disconnecting means and control
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Controller wiring, fuses, earthing, etc.
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Governor, overspeed switch, and seal
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Overhead beam and fastenings
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Drive machine brake
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Traction drive machines
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Gears, bearings and flexible couplings
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Winding drum machine and slack cable device
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Belt or chain-drive machine
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Motor generator
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Absorption of regenerated power
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AC drives from a DC source
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Traction sheaves
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Divertors
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Rope hitches
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Maintenance records
Completion
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Overall Recommendation
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Name & Signature of Maintenance Personnel
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