P & P Lifts Ltd - Platform Lift Service B

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

JOB DETAILS - Please enter job details including:

• LIFT MAKE / LIFT MODEL / LIFT SERIAL NUMBER

• Please provide these details and any other relevant information in this box.

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 THE SITE OR LIFT

  Media

PLEASE CHOOSE OPTION FOR EACH ITEM BELOW

• PLEASE ADD NOTES IF - Urgent Attention / Should be Renewed / No

ITEMS TO INSPECT

• Autodial / Alarm

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Check All Oil / Grease Levels

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Detectors / Door Protection

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Door Operation

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Floor Levelling

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Review Risk Assessment On Site

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Car / Landing Pushes / Indicators

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Clean Lift / Pit Equipment

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Ram Seals and Hoses

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Rupture Valves

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Safety Gear

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Clean Lift / Motor Room

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Controller

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Safety Edges around Platform

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Sign and Date the Log Card

  Select NO NOT APPLICABLE SATISFACTORY SHOULD BE RENEWED URGENT ATTENTION WORN BUT SERVICEABLE YES

  • NO
  • NOT APPLICABLE
  • SATISFACTORY
  • SHOULD BE RENEWED
  • URGENT ATTENTION
  • WORN BUT SERVICEABLE
  • YES

• Notes

• Recommendations

• Take Photos as required

  Media

• Engineers Signature

  Sign

• This equipment has been serviced in accordance with the contract and has been left in a satisfactory, safe and serviceable condition.

• All equipment is in satisfactory condition excepting those items requiring attention as identified on this report.

• Customer Signature

  Sign