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

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 HELP TO KNOW FOR FUTURE VISITS

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

PLEASE CHOOSE OPTION FOR EACH ITEM BELOW

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

ITEMS TO INSPECT

  • Autodial / Alarm

  • Notes

  • Check Lift Car Lighting

  • Notes

  • Check Lift Emergency Lighting

  • Notes

  • Check All Oil / Grease Levels

  • Notes

  • Detectors / Door Protection

  • Notes

  • Door Operation

  • Notes

  • Floor Levelling

  • Notes

  • Review Risk Assessment On Site

  • Notes

  • Car / Landing Pushes / Indicators

  • Notes

  • Clean Lift / Pit Equipment

  • Notes

  • Lift Car

  • Notes

  • Ram Seals and Hoses

  • Notes

  • Rupture Valves

  • Notes

  • Safety Gear

  • Notes

  • Ancillary Equipment

  • Notes

  • Clean Lift / Motor Room

  • Notes

  • Controller

  • Notes

  • Door Locks / Guide Shoes

  • Notes

  • Hoistway Equipment

  • Notes

  • Motor Room

  • Notes

  • Scissor Lift Tables

  • Notes

  • Sign and Date the Log Card

  • Notes

  • Recommendations

  • Take Photos as required

  • Engineers Signature

  • 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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.