Title Page
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Site conducted
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Building Name
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Conducted on
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inspected by
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Location
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Lift Number
Mobilisation Works (as applicable)
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Original Lift Equipment Removed
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Lift well scaffolding Installed?
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Temporary lighting Installed?
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Lockable hoardings Fitted?
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lift entrance secondary barriers Fitted?
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Lifting beams / eyes installed and tested
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Warning signage fitted
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Additional Notes / Observations
Health & Safety
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Operatives wearing correct PPE?
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All required inductions undertaken by on site personnel?
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Required Construction Phase Plan held on site?
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First Aid kit held on site (if applicable)?
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Additional Notes / Observations
New Equipment Installation (as applicable)
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Guide Rails (Car / Ram)
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Lift Sling
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Lift Car body
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Hydraulic Jack
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Car Buffers
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Hydraulic Jack Stool / Plinth
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Machine Room Electrical (if applicable)
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Machine Room Lighting (if applicable)
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Control System
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Power Unit
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Hydraulic Hoses & Fittings
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Lift Suspension
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Overspeed Governor, Rope & Pulley
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Lift Car Guide Shoes / Rollers
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Lift Car Electrification
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Car Top Engineers Control
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Car top Balustrade / Guarding
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Lift Well Wiring
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Lift Well Switching
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Lift Well Lighting
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Landing Entrances
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Landing Buttons
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Landing Signalisation
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Car Interior Finishes
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Car Operations Panel
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Car Doors
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Car Door Operating System
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Lift Car Safety Gear
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Lift Pit Wiring
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Autodialler & GSM (if applicable)
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Elevator Monitoring System
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Firefighters Lift Provisions
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Special Features (Provide Details)
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Lift Testing & Commissioning
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Lift Car Ride Quality Measurements
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Additional Notes / Observations