PLATFORM LIFT SERVICE

• JOB AUDIT TITLE INCLUDING JOB NUMBER

• CLIENT /SITE

• ENGINEER

• Conducted on

  Date
• Location
  Address

• Prepared by

LIFT DETAILS

• Lift Make / Lift Model and Serial Number

GENERAL

• Review Risk Assessment on Site

  YES

  NO

  N/A

  SEE NOTES

• Check all Oil and Grease Levels

  YES

  NO

  N/A

  SEE NOTES

• Clean Lift

  YES

  NO

  N/A

  SEE NOTES

• Are any Warning Signs Required?

  YES

  NO

  N/A

  SEE NOTES

PLATFORM and SAFETY CHECKS

• Inspect Safety Edges

  YES

  NO

  N/A

  SEE NOTES

• Emergency Stop Tested and Working

  YES

  NO

  N/A

  SEE NOTES

• Alarm on Platform Working

  YES

  NO

  N/A

  SEE NOTES

• Phone / Autodialler / Intercom Tested

  YES

  NO

  N/A

  SEE NOTES

• Battery Lowering Checked

  YES

  NO

  N/A

  SEE NOTES

• Alarm Reset Working

  YES

  NO

  N/A

  SEE NOTES

• Manual Lowering Checked

  YES

  NO

  N/A

  SEE NOTES

• All Door Contacts Checked and OK

  YES

  NO

  N/A

  SEE NOTES

• Platform Running Smoothly

  YES

  NO

  N/A

  SEE NOTES

ELECTRICAL SYSTEMS

• Lights Checked

  YES

  NO

  N/A

  SEE NOTES

• Control Panel Operation Checked

  YES

  NO

  N/A

  SEE NOTES

• Visual Anounciator Working

  YES

  NO

  N/A

  SEE NOTES

• Audible Anounciator Working

  YES

  NO

  N/A

  SEE NOTES

• Visual Inspection of Enclosure Made

  YES

  NO

  N/A

  SEE NOTES

• Manual Closers have been Tested and are OK

  YES

  NO

  N/A

  SEE NOTES

• Auto Closers have been Tested and are OK

  YES

  NO

  N/A

  SEE NOTES

• Inspect Motor

  YES

  NO

  N/A

  SEE NOTES

• Drive Belts on Platform Checked and are OK

  YES

  NO

  N/A

  SEE NOTES

• Drive Wear Nut Gap Checked

  YES

  NO

  N/A

  SEE NOTES

• Wear Nut Limit Switch Checked

  YES

  NO

  N/A

  SEE NOTES

• Top Drive Belt Checked

  YES

  NO

  N/A

  SEE NOTES

• Oil Reservoir Checked

  YES

  NO

  N/A

  SEE NOTES

• Oil Tray Cleaned and Oil Replaced

  YES

  NO

  N/A

  SEE NOTES

• Oil Roller On Screw Checked

  YES

  NO

  N/A

  SEE NOTES

• Ultimate Limit Switch Checked

  YES

  NO

  N/A

  SEE NOTES

• Guide Blocks on Platform Checked

  YES

  NO

  N/A

  SEE NOTES

• Does Platform Stop Level with Doors

  YES

  NO

  N/A

  SEE NOTES

• Pit Prop Working

  YES

  NO

  N/A

  SEE NOTES

• Induction Loop Checked

  YES

  NO

  N/A

  SEE NOTES

LOG CARD

• Sign and Date Log Card

  YES

  NO

  N/A

  SEE NOTES

NOTES and RECOMMENDATIONS

• NOTES

• RECOMMENDATIONS

• PLEASE TAKE ANY ADDITIONAL PHOTOS IF REQUIRED

  Media

ENGINEERS SIGNATURE

• Engineer - Please Print Name and Sign

  Sign

CUSTOMERS SIGNATURE

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

• Customers - Please Print Name and Sign

  Sign