Title Page
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Conducted on
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Prepared by
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Location
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Room Name:
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Inspection Date and Time
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Include Photos of Site
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Include photos of Lifter
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Include Photo of Manufacturer Plate
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Record Serial of Lifter
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Record Date of Manufacture
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Are the Cables Frayed?
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Do Cables Overlap?
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Are NyLoc nuts tight?
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Are Cable Connections to Projector Tray tight?
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Does Lifter have Fall Arrestor installed?
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Are there any Unusual noises?
