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

PLEASE USE THIS AUDIT TO NOTE ONLY ITEMS WHICH NEED UPDATING ON AN EXISTING RISK ASSESSMENT

  • PLEASE ENTER ONLY CHANGED INFORMATION

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

ACCESS TO THE MOTOR ROOM

  • Is there safe access to the Motor Room?

  • Risk Level

  • Access lighting to the Motor Room is adequate?

  • Risk Level

  • Is there clear unobstructed entry to the Motor Room?

  • Risk Level

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

  • Risk Level

  • Motor Room Door locked?

  • Risk Level

  • Motor Room Door fitted with Danger Sign?

  • Risk Level

  • Motor Room light switch adjacent to entry point?

  • Risk Level

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

  • Risk Level

  • Does Motor Room Door have a Tripping Hazard Sign?

  • Risk Level

INSIDE THE MOTOR ROOM

  • Does Motor Room have Emergency Lighting?

  • Risk Level

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

  • Risk Level

  • Is the Isolator marked Lift Main Switch?

  • Risk Level

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

  • Risk Level

  • Can the Isolator be locked in the OFF position?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

  • Is there only Lift Equipment in the Motor Room?

  • Risk Level

  • Is the Lift Equipment guarded / separate?

  • Risk Level

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

  • Risk Level

  • Is the heating level correct?

  • Risk Level

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

  • Risk Level

  • Is the lifting beam marked with the SWL?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

  • Does it have a non slip floor?

  • Risk Level

  • Is there a fire extinguisher (Black Type)?

  • Risk Level

MAIN LIFT CONTROLLER

  • Is there a Danger Sign 415 volts?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

  • If more than one lift are the controllers identified?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

HYDRAULIC TANK / GEAR AREA

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

  • Risk Level

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

  • Risk Level

  • Painted Yellow?

  • Risk Level

  • Is a Brake Handle present?

  • Risk Level

  • Pump Handle and does it work correctly?

  • Risk Level

  • Hand Winding Instruction Sign & visible?

  • Risk Level

  • Is there a safe working area for Hand Winding?

  • Risk Level

  • Are guards fitted to the machine / governor unit?

  • Risk Level

  • Do the guards allow safe servicing?

  • Risk Level

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

  • Risk Level

TOP OF LIFT CAR

  • Is the Roof strong enough for man and tools?

  • Risk Level

  • Do the landing doors have the modern triangle release?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

  • Are there any tripping hazards on roof?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

  • Is there a fixed light plus is it guarded?

  • Risk Level

  • Has a test up limit been fitted?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

LIFT SHAFT

  • Is there a landing safety barrier available?

  • Risk Level

  • Is the lift shaft adequately illuminated?

  • Risk Level

  • Are all lock box covers fitted?

  • Risk Level

  • Are all landing doors fitted with closers?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

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

  • Risk Level

  • Are all landing and car toe guards fitted?

  • Risk Level

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

  • Risk Level

  • Has top and bottom floor identification been visually marked?

  • Risk Level

LIFT PIT AREA

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

  • Risk Level

  • And lift pit safely?

  • Risk Level

  • Is it marked STOP?

  • Risk Level

  • Has a pit ladder been fitted plus hand grips?

  • Risk Level

  • Is there an interlocked pit prop available?

  • Risk Level

  • Has the pit prop been clearly labeled?

  • Risk Level

  • Is there a pit prop warning sign?

  • Risk Level

  • Is a pit warning sign required?

  • Risk Level

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

  • Risk Level

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

  • Risk Level

RISK ASSESSMENT COMPLETE

  • Select date

  • Engineer 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.