Information

PLEASE COMPLETE THIS SECTION IN BLOCK CAPITALS - DOUBLE TAP ON SHIFT KEY MAKES BLOCK CAPS

  • JOB TITLE e.g. SITE NAME - LIFT 1 - JOB 9999

  • SITE NAME

  • ENGINEER

  • Conducted on

  • Location

LIFT DETAILS - Please enter details about the Lift including:

  • ENTER DETAILS FOR LIFT - MAKE / MODEL / FLOORS / PERSONS / SERIAL NUMBER

CONDITION OF EQUIPMENT REPORT

  • S = SATISFACTORY D = DEFECTS R = RECOMMENDATIONS. N/A = NOT APPLICABLE

PLANT ROOM

  • LIFT MOTOR

  • LIFT MOTOR BEARINGS

  • LIFT MOTOR BRUSHES

  • LIFT GENERATOR

  • LIFT GENERATOR - BEARINGS

  • LIFT GENERATOR - BRUSHES

  • REDUCTION GEAR

  • BEARINGS

  • GEAR OIL

  • SHEAVE

  • PULLEYS

  • BRAKE

  • HYDRAULIC PUMP UNIT

  • HYDRAULIC FLUID

  • TACHO UNIT

  • OVERSPEED GOVERNOR

  • CONTROLLER

  • LIFTING BEAM

  • ACCESS TO PLANT ROOM

  • ACCESS TO PULLEY ROOM

LIFT CAR

  • CAR CONDITION

  • CAR PUSH STATION

  • ALARM SYSTEM (IF FITTED)

  • INDICATORS

  • LOAD PLATE

  • LIGHTING

  • SAFETY EDGE

  • DOOR DETECTORS

  • LIGHT RAY UNITS

  • DOOR OPERATOR

  • DOOR CONTACTS

  • CAR DOORS AND FRAMES

  • TRACK ROLLERS

  • TRACK SLIDES

  • AIR CORDS

  • RAMP

  • CAR TOP CONTROL

  • CAR STOP SWITCH

  • LEVELLING / SLOWING DEVICE

  • ANTI-CREEP (HYDRAULIC ONLY)

  • CAR WIRING

LIFT SHAFT

  • TRAILING CABLES

  • FLOOR LEVEL ACCURACY

  • CAR GUIDE SHOES

  • CAR SAFETY GEAR

  • HOISTING ROPE CONDITION

  • HOISTING ROPE TERMINATIONS

  • SAFETY ROPE CONDITION

  • SAFETY ROPE TERMINATIONS

  • GOVERNOR ROPE CONDITION

  • GOVERNOR ROPE TERMINATIONS

  • COUNTER WEIGHT CONDITION

  • COUNTER WEIGHT SHOES

  • GUIDES AND FIXINGS

  • SHAFT SWITCHES

  • SHAFT WIRING

  • SHAFT ENCLOSURE

  • LANDING DOORS AND FRAMES

  • LANDING TRACK ROLLERS / SLIDES

  • LANDING AIR CORDS

  • LANDING LOCKS

  • LANDING PUSHES

  • LANDING INDICATORS

  • HYDRAULIC EQUIPMENT

COMPLIANCE TO BS7255

  • COMPLIANCE TO BS7255 - PLEASE INDICATE AS FOLLOWS - YES. NO N/A (NOT APPLICABLE)

PLANT ROOM

  • LIGHTING

  • EMERGENCY LIGHTING

  • GUARDING

  • MOVING PARTS INDICATION

  • SHOCK CHART

  • DANGER NOTICE

  • HAND WINDING NOTICE

  • RUBBER MAT

  • PLINTH LADDER

  • HAND WINDING BUZZER

  • WIRING DIAGRAMS

LIFT CAR

  • CAR TOP CONTROL

  • SAFETY GEAR

  • SAFETY BARRIER

  • EMERGENCY LIGHTING

  • SAFETY OF CAR ROOF

  • CAR TOE GUARD

LIFT SHAFT

  • SHAFT SCREENS

  • COUNTERWEIGHT SCREENS

  • PIT LADDER

  • SAFETY LIGHTING

  • SOCKET OUTLET IN PIT

  • SAFETY BARRIERS

  • RUPTURE VALVE - HYDRAULIC

  • PIT PROP - HYDRAULIC

  • RELEASE KEYS

  • ARE ANY WARNING SIGNS REQUIRED?

  • SHAFT FASCIA PANELS

LG CERTIFICATES DISPLAYED

  • ARE LG CERTIFICATES DISPLAYED?

ENGINEER COMMENTS

  • PLEASE ADD COMMENTS

  • PLEASE ADD OR TAKE ANY FURTHER PHOTOS IF NEEDED

ENGINEER SIGNATURE

  • ENGINEER PRINT NAME AND SIGN

CLIENT SIGNATURE

  • CLIENT PRINT NAME AND SIGN

  • CLIENT POSITION

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