Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by Grant Hodson

  • Location
  • Personnel

Motor Room

  • Motor room door /cabinet / labelling, self closing and night latch lock

  • Cb panel / main switch labelling

  • Lighting and gpo

  • Labelling / numbering

  • Fire extinguisher / labelling / exit light

  • Flooring

  • Lifting beams / WLL

  • Motor clearances

  • Motor room ventilation

  • Brake release / lifter

  • Procedure for passenger release

  • Electrical diagrams

  • Machine guards / beams

  • Duct work / conduits

  • Govenor

  • Earthing

  • Rope fixing

  • Key box / access keys

  • Add media

Controller on landing

  • Cabinet door locking / labelled

  • C/b / main switch / labelling

  • Lighting /gpo

  • Labelling / numbering

  • Flooring adjacent / clearances

  • Cabinet ventilation

  • Brake release / lifter

  • Procedure for passenger release

  • Electrical diagrams

  • Earthing

  • Wiring terminations

  • Keybox / access keys

  • Add media

Shaft Equipment

  • Lifting eye / labelling

  • Machine beams and fixings

  • Machine guards / electrical

  • Govenor / govenor rope

  • Shaft lighting

  • Rails / brackets / pinning

  • Ropes and fixings

  • Limit position / electrical

  • Duct and conduit

  • Top clearances

  • Flushing / guarding

  • Earthing

  • Flex connection

  • Shot bolt bracket / pinning

  • Labelling

  • Dual shaft screening

  • Add media

Landings

  • Landing door frames

  • Landing door square

  • Fixings

  • Clearances

  • Upthrusts

  • Self closing

  • Spring noise

  • Door guides

  • Labelling

  • Fire rating labels

  • Button box position

  • Landing buttons / indicators

  • Landing key switches

  • Add media

Counterweight

  • Rope fixings

  • Sheave guards

  • Guides / guards / pinning

  • Lock down plates

  • Compo fixing

  • Add media

Top of Car

  • Lighting/ gpo

  • Roof top control

  • Guides / guards / pinning

  • Standing area

  • Trap door

  • Door operator

  • Duct work/ wiring

  • Fan / air con / switch

  • Guard rail / clearances

  • Earthing

  • Labelling

  • Shot bolts

  • Positioning system / ramps

  • Add media

Car interior / Super

  • Car interior

  • Hand rails

  • Car panels (main and auxilary)

  • Lighting / false ceiling

  • Load notice

  • Car doors

  • Earthing

  • Ventilation

  • Add media

Under Car

  • Toe guard

  • Flex connection

  • Under car lighting

  • Guides / pinning

  • Compo fixing / s hook / switch

  • Safety gear / switch / label

  • Add media

Pit

  • Pit ladder

  • Egress / door stop

  • Pit safeties / labels

  • Sump cover / dryness

  • Limits / electrical

  • Jenny wheel / guard

  • Clearances

  • Lighting / gpo

  • Earthing

  • Counterweight screen

  • Person clearance zone marked

  • Car and cwt buffer

  • Add media

Communications

  • Emergency car phone

  • Top of car phone

  • BMS

  • CCTV

  • Auxilary flex phone wiring and protection

  • Add media

Contract Data

  • Part 12 compliance

  • Special features

  • Car finishes

  • Car panel button and key switch layout colour

  • Car sill height to suit final flooring

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.