Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Untitled Page

Floor/Loc

  • Lift NO. (Ok - No defects/abnormalies found or Not Defects/Abnormalies found)

Lift Car (Daily)

Lift Car Interior Condition

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Lift Landing & Car Door Alignment (Check if doors are properly aligned)

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Lift should not elevate or descend when door is not fully closed

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Lift Levelling shold be within ± 10mm*

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Door Operation (Any Noise, Any Jerk, Vibrations)

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Car Door Condition (Good - No issues, Poor - E.g., Damage/Dents, Debris in Door Sills)

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Test Bell Alarm in Good Condition

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Lift Buttons Condition (Good - No issues, Poor - E.g., Jammed / Loose / Damaged)

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Any abnormal noise in lift car

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Vibrations in Car Cages

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Lift Car Position Indicator (LED Floor Indicator)

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Hall (Lobby) Position Indicator (LED Floor Indicator)

  • EVL 1

  • FL 1

  • EVL 2

  • FL 2

  • GL 1

  • GL 2

  • GL 3

  • GL 4

  • GL 5

  • GL 6

Note: Any findings shall be recorded in the Remarks Column

  • Remarks:

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.