P & P Lifts - Lift Risk Assessment - V 2

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

  Date
• Location
  Address

PLEASE ENTER DETAILS OF THE LIFT

• E.G. Lift Make / Lift Model / Serial Number

NEW USEFUL INFORMATION - E.G. DOOR CODES / ACCESS OR CONTACT DETAILS / LIFT INFO etc.

• PLEASE ENTER ANY NEW USEFUL INFO WHICH WILL BE HELPFUL TO KNOW FOR FUTURE VISITS

• TAKE PHOTOS IF RELEVANT TO DO WITH ANY NEW USEFUL INFO TO DO WITH SITE OR LIFT

  Media

ACCESS TO THE MOTOR ROOM

• Is there safe access to the Motor Room?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Access lighting to the Motor Room is adequate?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there clear unobstructed entry to the Motor Room?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Correct type of lock fitted to the Motor Room Door?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Motor Room Door locked?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Motor Room Door fitted with Danger Sign?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Motor Room light switch adjacent to entry point?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is an oil barrier fitted in front or behind door?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does Motor Room Door have a Tripping Hazard Sign?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

INSIDE THE MOTOR ROOM

• Does Motor Room have Emergency Lighting?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has the Mains Isolator been fitted adjacent to the entry point?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is the Isolator marked Lift Main Switch?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is a lift parking sign been fitted to the Isolator?<br>

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Can the Isolator be locked in the OFF position?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there an Electric Shock Card positioned in the main Isolator Box?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a Landing Release Key available in the Motor Room?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• If more than one Lift, are both Isolators identified?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there only Lift Equipment in the Motor Room?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is the Lift Equipment guarded / separate?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does the Lift Room have the correct type of ventilation?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is the heating level correct?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does Motor Room have trap doors and are they strong / guarded / sign fitted?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is the lifting beam marked with the SWL?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there any raised section in the Motor Room & are they guarded?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is a ladder fitted if they are 500mm or higher?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is the motor room free of tripping / head hazards?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does it have a non slip floor?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a fire extinguisher (Black Type)?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

MAIN LIFT CONTROLLER

• Is there a Danger Sign 415 volts?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a full width rubber Safety Mat in front of the Controller?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a rubber mat fitted behind the controller if required?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• If more than one lift are the controllers identified?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Fitted with warning signs if power still on when one is turned off?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a clear distance of 900mm in front of the main Controller?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a warning sign fitted to the controller isolator before opening?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are there Controller wiring diagrams of correct type for this controller?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Have all objects been removed from the top of the Controller?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

HYDRAULIC TANK / GEAR AREA

• Is there a safe working clearance above the gear / tank area (300mm)?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a hand winding wheel and is it of the spoke less type?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Painted Yellow?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is a Brake Handle present?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Pump Handle and does it work correctly?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Hand Winding Instruction Sign & visible?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a safe working area for Hand Winding?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are guards fitted to the machine / governor unit?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Do the guards allow safe servicing?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a Stop Switch fitted by the gear / motor / tank units?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

TOP OF LIFT CAR

• Is the Roof strong enough for man and tools?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Do the landing doors have the modern triangle release?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has a stop switch been fitted max 1000mm from entrance of lift roof?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has a car top control been fitted with guarded controls and a run button?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Have you tested the car top controls system turns off landing call?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does the Lift Car have safety gear fitted - If not Do Not Ride

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are there any tripping hazards on roof?

  YES

  NO

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a Gap of 300mm or more around roof top therefore constituting a fall hazard?

  YES

  NO

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are there any finger trap areas / driving wheel / divertor wheels?

  No

  Yes

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a fixed light plus is it guarded?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has a test up limit been fitted?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does it stop the lift 1800mm from the first strike point?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does the car top have low head room signs in place?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a car top hand rail plus sign in place?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

LIFT SHAFT

• Is there a landing safety barrier available?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is the lift shaft adequately illuminated?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are all lock box covers fitted?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are all landing doors fitted with closers?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Do all landing and car locks - electrically and mechanically work correctly?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does the overhead lifting beam have a SWL Sign fitted?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are all landing doors solid type (not lattice type) finger traps?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Are all landing and car toe guards fitted?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• If two lifts in same shaft is screening guard been fitted?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has top and bottom floor identification been visually marked?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

LIFT PIT AREA

• Has a lift pit stop switch been fitted that can be reached from the landing?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• And lift pit safely?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is it marked STOP?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has a pit ladder been fitted plus hand grips?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there an interlocked pit prop available?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has the pit prop been clearly labeled?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is there a pit prop warning sign?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Is a pit warning sign required?

  No

  Yes

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Has the hydraulic ram been fitted with a rupture valve?

  Yes

  No

  N/A

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Does this lift operate in an enviroment that requires special safety equipment or has hazards that may require two man working for safety?

  No

  Yes

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

Asbestos

• Is there any asbestos present? - If Yes please record details.

  No

  Yes

• Risk Level

  HIGH RISK

  MEDIUM RISK

  LOW RISK

RISK ASSESSMENT COMPLETE

• Engineer Signature

  Sign

• Select date

  Date