Shorts DMG Survey Form

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Standards Compliance

  EN 81-1/2:1998

  EN 81-1/2:1998+A3:2009

  EN 81-72:2015 Firefighters

  EN 81-20:2014

Load Plate Information

• Load Capacity

• Lift Reference

• Telephone Number

• Supply Voltage

• Supply Hertz

• Supply Wire

• System

  Simplex

  Duplex

  Triplex

  Quadruplex

• Operation

  Universal

  Down Collective

  Full Collective

• Wiring

  Hard Wiring

  Fully Pre-Wired

  Part Pre-Wired

• Power

• Nominal Current

• Speed

• Lift Car Doors

  Manual/No Car Doors

  Independent

  VVVF Regulated

  Automatic

  Busmatic

• Landing Doors

  Manual

  Automatic

• Doors Voltage

• Pre-Opening

  Yes

  No

  N/A

• Powered During Run

  Yes

  No

  N/A

• Door Brake

  DC Injection

  Electric (Include Voltage)

• Retiring Ramp Voltage

New Lift Doors

• Manufacturer

• Model

• Number Of Car Doors

• Number Of Landings

• Panel Arrangement (Number and Opening)

• Clear Door Opening

• Required Finish

• Traction System

  Select 2 Speed VVVF Machine Room VVVF MRL "Door Frame" VVVF MRL "Shaft and Door Frame"

  • 2 Speed
  • VVVF Machine Room
  • VVVF MRL "Door Frame"
  • VVVF MRL "Shaft and Door Frame"

• Brake Voltage

• Motor Fan Voltage and Current

• Open Loop

  Yes

  No

  N/A

• Closed Loop

  Select Geared With Encoder 5V RS485 Geared With Open Collector Encoder (12v to 15v) Gearless With EnDat Encoder Gearless With Sin/Cos Encoder

  • Geared With Encoder 5V RS485
  • Geared With Open Collector Encoder (12v to 15v)
  • Gearless With EnDat Encoder
  • Gearless With Sin/Cos Encoder

• Manufacturer

• Model

• Number Of Poles

• Frequency

• RPM

• Starting Method

  Direct Online

  Star Delta

  Soft Start

• Valve Block Manufacturer

• Valve Block Model

• Flow Rate (l/min)

• Number Of Valves

• Valve Voltage (inc AC/DC)

• Suspension

  1:1

  2:1

• Oil Cooler Voltage (inc AC/DC)

• Tank Heater Voltage (inc AC/DC)

Replacement Pump Unit

• Cylinder Make/Model

• Piston Diameter/s

• Number Of Cylinders

• Number Of Stages

• Lift Travel

• Existing Hose Length

• Valve Block Connection Diameter

• No Load Static Pressure

• Load Capacity

• Cabin Weight

• Load Capacity

• Type Of Machine

  Geared

  Gearless

• Suspension

  1:1

  2:1

  4:1

• Traction Sheave Diameter

• Diverter Diameter

• Cabin Weight

• CWT Weight

• Encoder Required

  Yes

  No

  N/A

• Handing Of Machine (looking from handwinding wheel)

  Left

  Right

• Replacement Bedframe

  Full Height

  Low Profile

• Number Of Ropes

• Rope Diameter

• Rope Pitch

• Machine Location

• Attach Sketches Of Machine, Sheave and Diverter Dimensions

  Media

• Lowest Floor To Top Floor Measurement (cill to cill)

• Headroom Measurement (cill to ceiling)

• Number Of Floors

• Sided

  Single Side

  Through Car

• Detailed Floor To Floor Measurements (cill to cill inc both sides)

• Distance From Lift Shaft To Control Panel

• Distance From Nearest Floor To Motor Room (inc which floor)

Overspeed Governor

• Governor Diameter

• Trip Speed

• Lift Speed

• Remote Trip Or Reset

  Trip

  Reset

  Trip and Reset

• Voltage (inc AC/DC)

• Pit Tension Pulley

  Yes

  No

  N/A

• COP

  Yes

  No

  N/A

• LOP

  Yes

  No

  N/A

• Landing Indictor Panel/s (inc amount)

  Yes

  No

  N/A

• Car and Landing Display Retained

  1 Line Per Floor

  1 Line Per Segment

  Binary

  Gray Code

• Autodialer Required

  Yes

  No

  N/A

• Slave Stations Required

  Yes

  No

  N/A

• GSM Unit Required

  Yes

  No

  N/A

• Car Top Control Station Required

  Yes

  No

  N/A

• 80 Way Half Way Box Required

  Yes

  No

  N/A

• Trailer Measurements

• Lift Shaft Lighting Required

  Yes

  No

  N/A

• Lift Cabin Lighting Required

  Yes

  No

  N/A

• Amendment A3 Package Required

  Yes

  No

  N/A

• Load Weighting Device Required

  Yes

  No

  N/A

• Safety Edges Required

  Yes

  No

  N/A