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Elevator Maintenance Checklist Form

Inspect inside of car, top of car and the machine room.

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Elevator Maintenance Checklist Form

Audit

Inside of Car

Door reopening device
Stop switches
Operating control devices
Sills and car floor
Car lighting and receptacles
Car emergency signal
Car door or gate
Door closing force
Power closing of doors or gates
Power opening of doors or gates
Car vision panels and glass car doors
Car enclosure
Emergency exit
Ventilation
REFERENCE: Elevator signs and Operating Device Symbols in Good Working Condition [This is an example of how you can use Lumiform to include best practice reference images in your templates to assist with inspections]
Signs and operating device symbols
Rated load, platform area, and data plate
Standby power operation
Restricted opening of car/hoistway doors
Car ride
Earthquake inspection/test

Top of Car

Top-of-car stop switch
Car top light and outlet
Top-of-car operating device
Top-of-car clearance and refuge space
Normal terminal stopping device
Final and emergency terminal stopping devices
Car leveling and anti-creep devices
Top emergency exit
Floor, and emergency numbering
Hoistway construction
Hoistway smoke control
Pipes, wiring, and ducts
Windows/projections/setbacks/recesses
Hoistway clearances
Multiple hoistway
Traveling cables and junction boxes
Door and gate equipment
Car frame and stiles
Guide rails, fastening and equipment
Governor rope
Governor releasing carrier
Wire rope fastening and hitch plate
Suspension rope
Top counterweight clearance
Car, overhead, and deflector sheaves
Broken rope, chain, or tape switch
Crosshead data plate
Counterweight/counterweight buffer
Counterweight safeties
Compensating ropes and chains
Earthquake inspection/test

Machine Room

Access to machine space
Headroom
Lighting and receptacles
Machine space
Housekeeping
Ventilation
Fire extinguisher
Pipes, wiring, and ducts
Guarding of exposed auxiliary equipment
Numbering of elevators, machines, and disconnect switches
Disconnecting means and control
Controller wiring, fuses, grounding, etc.
Governor, overspeed switch, and seal
Code data plate
Static control
Overhead beam and fastenings
Drive machine brake
Traction drive machines
Gears, bearings and flexible couplings
Winding drum machine and slack cable device
Belt or chain-drive machine
Motor generator
Absorption of regenerated power
AC drives from a DC source
Traction sheaves
Secondary and deflector sheaves
Rope fastenings
Terminal stopping devices
Car and counterweight safeties
Maintenance records
Earthquake inspection/test

Completion

Overall Recommendation
Name & Signature of Maintenance Personnel
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