Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Location
Building Information
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UPRN
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Address
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Picture of Site
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Date of Inspection
Passenger Lift Type
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Lift Type
- Traction Lift
- Hydrolic
- Machine Room Less Lift
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Lift Identification Number
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Lift Door Configuration
- Single Door
- Double Door
- Double Set Back-Front
Lift Car Information
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Autodialler Opperation
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Autodialler Phone Number
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Safety Edge Condition
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Door Operation Including Tracks & Speed
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Car Door Run-By Gaps
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Gal Tamper Proof (if fitted)
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Car Lighting
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Car Lighting Further Information
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Car Emergency Lighting
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Car Indicators
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Voice Announcer
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Car Operation Panel
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All Floor in Both Directions
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Car Preference Switch
Landings
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Landing Call Buttons
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Landing Call Button Indicator
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Information of Defective Call Buttons
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Landing indicators ( if fitted )
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All Landing Run-by Door Gaps
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Landing Emergency Release
Car-Top Equipment
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Car Top Barriers
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Car Top Cleaniess
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Movement of Guide Shoes Play Three Floors
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Car Top Stop Switch
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Car Top Control
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All Shaft Safety Notices
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Further Information Safety Notices
Shaft
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Shaft Lighting
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Shaft Decoration
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Oil Seals High & Low
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Pit Stop Switch
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Pit Cleaniness
Motor Room
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Picture of Motor Room
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Rope Condition
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FB4 Lock - Labels - Doors Condition
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Access Condition - Ladder - Lighting
- Ladder Access
- Fixed Metal Ladder
- Wooden Ladder
- FB Lock
- Peabody Lock
- Lighting Working
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Picture of Ladder
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Motor Room Cleaniness
Electrical Equipment in Motor Room
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Motor Room Lighting
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Emergency Lighting
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Motor Room Heater
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Electrical Insulation Matting
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Lockable Electrical Isolator
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Consumer Unit Condition
Documentation
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Wiring Diagrams
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Log Book Correctly Filled Out
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Log Book Correctly Filled Out Including Service/Repair Dates
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Motor Room Safety Notice
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Outstanding Insurance Defects
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Site Assessment Form on Site
Safety Equiptment
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Operation of Stop Switch (if possible)
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Guarding
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Hand Winding Wheel /Buzzer Unit
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Brake Shoes/Drum
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Governor Visual Inspection
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Fire Extinguisher Date
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Oil Levels
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Sheaves
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Emergency Lowering Valve
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Lifting Beam
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Valve Block
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Controller Condition
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Hose & Glands
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Hand pump & Pressure Valve
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Air Vent fitted
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Bung Wall
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Ram Seals
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Oil Coolant
