Information
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Survey Title
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Client
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Site Address
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Lift number:
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Survey Conducted On:
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Survey Conducted By:
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Report Date:
Lift Details
Lift details
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Lift Manufacturer
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Maximum persons
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Maximum load kgs
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Speed M/S
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Usage level
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Drive type
- Traction
- Hydraulic
- Traction MRL
- Hydraulic MRL
- Screw Drive
- Rack & Pinion
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Motor room location
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Installation date
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Modernisation date
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Number of floors served
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No of car entrances
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No of landing entrances
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Floors served front
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Floors served rear
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Floors served left hand side
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Floors served right hand side
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Shaft width mm
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Shaft depth mm
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Pit depth mm
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Headroom mm
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Travel mm
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Summary Report
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Recommended health and safety works
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Recommended DDA upgrade works
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Recommended upgrade / replacement works
Lif Motor Room
Motor Room
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Is the motor room access safe with suitable lighting and emergency lighting and any access ladders over 2M in height fitted with hooped protection?
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Is the motor room door lockable and fitted with an internal release and displaying current motor room entrance notices?
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Are any trap doors of sound construction, counterbalanced and marked with the safe working load?
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Does the motor lighting meet current standards (200 lux at floor level)?
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Is emergency lighting fitted and working correctly?
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Is the motor room light switch fitted adjacent to the motor main entry point and clearly identified?
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Can the lift car lighting be isolated within the motor room / control panel (MRL)
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Is the mains isolator lockable?
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Main isolator rating (amps)
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Compliant consumer unit fitted within the motor room?
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Is a RCD Protected 240V socket available in the motor room?
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Is an electric shock notice displayed within the motor room, is this securely fixed using mechanical (screw) fixings
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Are handwinding instructions displayed within the motor room, are these securely fixed and comply with the hand lowering procedure for the lift?
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Is a floor level indicator fitted with both audible and visual indication including the ability to identify the lift location (lifts serving more than two floors)
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Is there a rubber mat fitted in front and rear where applicable of the control panel and any other electrical panels within the motor room?
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In a shared motor room is the lift number clearly identified on each piece of plant I.e. control panel, gear, isolator, overspeed governor.
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Is there a tool board fitted?
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Are all lifting beams within the motor room tested and marked with the safe working load?
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Are the motor room and plinth floors free of tripping and slipping hazards and any redundant holes blanked off?
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Are there a guard rails and access ladder fitted were plinths are more than 500mm high, do these comply with current standards and suitably fixed?
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Is there a phone line available in the motor room?
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Is there a connection to the fire alarm system available within the motor room?
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Are there any none lift services in the motor room?
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Is the motor room in a clean and tidy condition?
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Is the motor room decorated?
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Is the ambient temperature of the motor room between 15 - 25 degrees C
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Motor room comments
Control Panel
Control Panel
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Control panel manufacturer
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Control panel age
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Is there a high voltage warning notice fitted to the control panel door and heat notices were resistor boxes are externally mounted?
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Control panel condition
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Is the control panel of an obsolete design
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Control panel mounted
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Is the control panel correctly located with sufficient space to allow clear access and the panel securely fixed?
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Control Panel Type
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Control Type
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Microprocessor manufacturer and type
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VF Drive Manufacturer and Type
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Are wiring diagrams available on site?
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Ellison type overload device fitted?
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Control panel comments
Hydraulic Drive Unit
Hydraulic Drive System
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Tank manufacturer
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Valve block manufacturer
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Valve block details
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Is the valve block of an obsolete design?
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Is there an hand pump fitted to the tank?
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Is a pressure gauge fitted?
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Valve block leaks? - test by closing gate valve and monitor pressure drop
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Tank condition
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Pipework type
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Low pressure switch
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High Pressure switch
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Load weighing pressure switch
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Is an oil cooler fitted?
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Is an oil containment system fitted?
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Is a tank heater fitted?
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Is motor room heating fitted?
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Hydraulic Drive System Comments
Traction Drive System
Traction Machine
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Motor manufacturer
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Motor condition
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Motor HP/ Kw
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Motor amps
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Gear unit manufacturer
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Gear condition
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Brake manufacturer
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Brake condition
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Sheave size mm
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Sheave condition
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Are anti-jump bars fitted to the traction machine to prevent the main hoisting ropes from coming off the sheave?
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Winding wheel available?
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Tachometer fitted for motor feedback to VF drive?
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Does the machine run without any undue noise or vibration
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Number of ropes/chains and size I.e. 4 x 13mm
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Divertor location
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Is there an emergency stop switch fitted adjacent to the hoisting machine?
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Is guarding fitted to the hoisting machine to protect against all moving parts?
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Can any guarding to items required to facilitate emergency release be removed without the use of tools?
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Are all rotating parts painted yellow?
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Traction Machine Comments
Overspeed Governor
Overspeed Governor
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Overspeed governor location
- Motor room
- Shaft
- Broken rope system fitted
- Not fitted
- N/A direct acting lift
- Not applicable
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Is guarding fitted to the overspeed governor?
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Electrical tripping speed (m/s)
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Mechanical tripping speed (m/s)
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Overspeed governor comments
Entrances
Entrances
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Door manufacturer
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Door operator type
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Door equipment condition
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Door protection
- infra-red safety edges
- photo-cell
- Retractable edge
- Pressure switch
- No protection fitted
- Not applicable
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Car door type
- Single panel side opening
- Two panel side opening
- Three panel side opening
- Two panel centre opening
- Four panel centre opening
- Hinged door
- Double hinged door
- Lattice gate
- Shutter gate
- Bi-parting shutter gate
- No door fitted
- Other see comments
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Landing door type
- Single panel side opening
- Two panel side opening
- Three panel side opening
- Two panel centre opening
- Four panel centre opening
- Hinged door
- Double hinged door
- Lattice gate
- Shutter gate
- Bi-parting shutter gate
- No door fitted
- Other see comments
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Door width (mm clear opening)
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Door height (mm clear opening)
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Door finish - lift car
- Brushed Stainless Steel
- Patterned Stainless Steel
- Fluted Aluminium
- Painted
- Wood
- Laminate
- Brass
- Mirror Stainless Steel
- Other see comments
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Door finish - landings
- Brushed Stainless Steel
- Patterned Stainless Steel
- Fluted Aluminium
- Painted
- Wood
- Laminate
- Brass
- Mirror Stainless Steel
- Other see comments
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Landing architrave type
- Box frame
- Full depth
- Box Frame & Full Depth
- Slam post only
- Full entrance infill
- Not fitted
- Other see comments
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Landing architraves finish
- Brushed Stainless Steel
- Patterned Stainless Steel
- Fluted Aluminium
- Painted
- Wood
- Laminate
- Brass
- Mirror Stainless Steel
- Other see comments
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Door operation
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Zone locking fitted
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Door cill condition
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Door running equipment condition
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Door closing device
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Are shaft fascia's fitted and secure?
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Are landing toe guards fitted and secure?
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Is there a toe guard fitted to the lift car?
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Is pre-locking fitted to manually operated gates?
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Are the clearance on all entrances less than 6mm (10mm when original equipment retained)?
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Are there any excessive forced gaps on the car and landings entrances?
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Is a landing entrance barrier provided?
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Entrances comments
Landing Stations
Landing pushes and indicators
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Landing push finish
- Stainless Steel
- Brass
- Plastic
- Glass
- Aluminium
- in doorframe
- Painted
- Not fitted
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Landing station mounted
- Flush
- Surface
- Door frame
- Architrave
- Remote mounted
- Not fitted
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Landing station lowest button (mm)
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Landing station highest button (mm)
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Landing indicator finish
- Stainless Steel
- Brass
- Plastic
- Glass
- Aluminium
- in doorframe
- Painted
- Not fitted
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Landing indicator mounted
- Flush
- Surface
- Door frame
- Architrave
- Remote mounted
- Not fitted
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Landing indicator type
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Landing at floors
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Has signage been displayed at each each landing warning against the use of the lift in the event of fire?
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Is there a fire recall device fitted?
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Landing station comments
Landing DDA Compliance
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Landing station height and position correct?
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Are Braille / tactile buttons fitted?
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Is audible call acceptance fitted?
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Is visual call acceptance fitted?
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Are landing indicators fitted (above 2 floors)?
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Are hall lanterns fitted (above 2 floors)?
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Have tactile floor ID plates been fitted at all floors?
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Is an arrival gong fitted?
Lift Car
Lift Car
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Car width (mm)
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Car depth (mm)
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Car height (mm)
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Car wall finishes
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Car ceiling finishes
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Car floor finishes
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Are bump rails fitted within the lift car?
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Lift car lighting type
- .Fluorescent
- Incandescent lamp
- 2D fitting
- LED
- Downlighters
- Not fitted
- Other see comments
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Lift car lighting mounting
- Recessed
- Surface
- False Ceiling
- Flush Mounted
- Car Operating Panel
- Not fitted
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Emergency lighting working
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Car station location
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Distance to nearest corner (mm)
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Height lowest button (mm)
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Height highest button (mm)
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Number of key switches fitted?
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Key switches operate?
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Is car lighting fitted as specified, providing a minimum of 200lux at floor level?
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Is the emergency lighting fitted as specified and working correctly?
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Does the audible alarm operate correctly under both power on and power off conditions?
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Is the emergency two way communications system fitted and operating correctly?
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Lift Car Comments
Lift Car DDA Compliance
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Entrance size and type?
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Car station height and position correct?
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Are Braille / tactile buttons fitted?
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Is audible call acceptance fitted?
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Is visual call acceptance fitted?
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Visual floor identification fitted (above 2 floors)?
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Audible floor identification fitted (above 2 floors)?
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Autodialler and acoustic loop or emergency call system fitted? i.e. wardens call
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Handrail fitted in the lift car?
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Mirror fitted in the lift car?
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Car lighting a minimum of 100 lux at floor level?
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Are infra-red full height safety edges fitted?
Car Top
Car Top
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Shaft selector type
- Tapehead
- Magneto switches
- Shaft encoder
- Induction switches
- Shaft switches
- Other see comments
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Is a up inspection limit fitted?
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Is a car top control conforming to either EN81- 1/2 or BS7255 enhanced version fitted?
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Is a run (common) button fitted
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Is an emergency stop switch located with 1 metre of the landing threshold?
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Is a car top light fitted, did it operate correctly at the time of survey?
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is emergency lighting fitted to the car top?
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Is a RCD protected socket fitted?
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Is a car top emergency communication device fitted?
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Are all pulleys on the car top painted yellow and guarded?
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Are there any voids around the top of the lift car in excess of 300mm?
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Where voids exceed 300mm is a securely fixed and rigid car top balustrade fitted complete with mid bar and toe board?
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Car Top Comments
Lift Shaft
Lift Shaft
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What are the shaft walls constructed in?
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What are the door nibs constructed in?
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What is the shaft roof constructed in?
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What is the lift pit constructed from?
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Is the well enclosure continuous floor to ceiling?
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Is the shaft painted / dust sealed?
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Are full height division screens fitted where the shaft is shared with other lifts?
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Are there lifting beams or lifting points fitted and are these marked with the safe working load?
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Is the shaft lighting fitted?
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Are there any non-lift services within the lift shaft?
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Is a restricted headroom notice fitted where applicable?
Lift Pit
Lift Pit
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Number of buffers fitted
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Type of buffers fitted
- Spring
- Neoprene
- Wood
- Helical Spring
- Concrete
- Hydraulic
- Not fitted
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Is there a suitable access ladder to allow safe access and egress to and from the pit area?
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Is the pit stop switch(es) easily accessible form both the pit and landing?
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Can the shaft lighting be switched on/ off from the lift pit?
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Is there a 240v pit socket fitted?
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On traction lifts is a counterweight screen which extend to an height of 2.5M from the pit floor fitted?
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Are pit division screens fitted up to an height of 2.5M where the lift shares a shaft?
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Is the pit clear of any water or oil?
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on hydraulic lifts are lifts with shallow pit depths, is a mechanical restraint provided?
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Is the mechanical restraint electrically interlocked?
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On shallow pits, is a restricted pit depth notice displayed?
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Was the pit found in a clean condition and free of rubbish?
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Are drip trays fitted to the base of the car and counterweight guides?
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Is the overspeed governor return pulley electrically switched?
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Is the overspeed governor return pulley guarded?
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Is there a compensation rope/chain pulley fitted?
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Is the compensation rope/chain pulley electrically interlocked?
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Lift Pit Comments
Car Sling
Car Sling
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Type of safety gear fitted
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Is the safety gear electrically switched?
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Type of guide shoes fitted
- Slipper
- Sprung loaded slipper
- Cantilever Roller shoe
- Roller shoes
- Bronze slipper
- Round guide slipper
- Other see comments
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Are compensating ropes/chains fitted to the lift car?
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Type of compensation fitted
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Sling comments
Hydraulic Cylinder
Hydraulic Cylinder
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Number of hydraulic rams fitted?
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Hydraulic ram type?
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Hydraulic arrangement
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Number of ropes/chains and size I.e. 4 x 13mm
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Ram seal condition
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Rupture valve fitted?
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Overflow bottle and hose fitted?
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Hydraulic cylinder comments
Counterweight
Counterweight
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Counterweight type
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Type of guide shoes fitted
- Slipper
- Sprung loaded slipper
- Cantilever Roller shoe
- Roller shoes
- Bronze slipper
- Round guide slipper
- Other see comments
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Type of filler weights fitted
- Cast
- Concrete
- Steel
- Cast & steel
- Concrete & steel
- Other see comments
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Are the filler secured within the counterweight?
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Is there a divertor pulley fitted to the counterweight?
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Is the counterweight pulley guarded?
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Is the counterweight painted yellow?
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Counterweight comments
Maintenace
Lift Maintenance and Breakdowns
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Is a current log card available?
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Maintenance level
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Number of maintenance visits completed in the last twelve months
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Comments on maintenance
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Number of breakdowns in the last twelve months
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Comments on lift breakdowns