Title Page

  • Site logo

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Survey

  • Outside of building

  • How many floors

  • Site office

  • Lowest floor outside lift ( Lobby )

  • Loading area

  • Inside Lift car load plate and COP

  • Landing push type ( picture push )

  • Landing indicator (location)

  • Access to machine room

  • Machine room lifting beam (Roof construction)

  • Isolator picture (confirm Neutral)

  • Data plate on machine

  • Controller

  • Machine room lay out

  • Rope holes dimensions

  • Hatch in machine room

  • Machine room layout (brief drawing)

  • Location of machine room top or bottom

  • Machine room height

  • Machine room width

Shaft

  • Shaft nibs right and left

  • Shaft from landing

  • Shaft from on top car

  • Car top

  • Counterweight

  • Guide fixings

  • Top of the shaft

  • Guides Car

  • Lifting beam with load plate

  • Guides counterweight

  • Bottom of the shaft

  • Buffers

  • Pit depth and with

  • Cil fixings and construction

  • Trimmer steels and division screens

  • Pit ladder (access)

  • Pit picture

  • Landing header fixings and lintel details

  • Shaft lights

  • Door operator ( Type )

  • Shaft Width

  • Shaft depth

  • Shaft height ( pit to underside of slab )

  • Travel - pit and - headroom =

  • Headroom ( Slab )

  • Headroom ( Lifting Beam )

  • Completed by

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.