Template Information
This form is to be used when undertaking a site survey
Category: construction
Template Questions
- Lift Manufacturer
- Maximum persons
- Maximum load kgs
- Speed M/S
- Lift details
- Drive type
- Motor room location
- Installation date
- Modernisation date
- Number of floors served
- No of landing entrances
- Floors served front
- Floors served rear
- Floors served left hand side
- Floors served right hand side
- Shaft width mm
- Shaft depth mm
- Pit depth mm
- Headroom mm
- Travel mm
- Summary Report
- Recommended health and safety works
- Recommended DDA upgrade works
- Recommended upgrade / replacement works
- Motor Room
- Main isolator rating (amps)
- Motor room comments
- Control panel manufacturer
- Control panel age
- Control Panel
- Microprocessor manufacturer and type
- VF Drive Manufacturer and Type
- Ellison type overload device fitted?
- Control panel comments
- Tank manufacturer
- Valve block manufacturer
- Valve block details
- Hydraulic Drive System
- Hydraulic Drive System Comments
- Motor manufacturer
- Traction Machine
- Motor HP/ Kw
- Motor amps
- Gear unit manufacturer
- Brake manufacturer
- Sheave size mm
- Number of ropes/chains and size I.e. 4 x 13mm
- Traction Machine Comments
- Overspeed governor location
- Overspeed Governor
- Electrical tripping speed (m/s)
- Mechanical tripping speed (m/s)
- Overspeed governor comments
- Door manufacturer
- Door operator type
- Entrances
- Door protection
- Car door type
- Landing door type
- Door width (mm clear opening)
- Door height (mm clear opening)
- Door finish - lift car
- Door finish - landings
- Landing architrave type
- Landing architraves finish
- Entrances comments
- Landing push finish
- Landing station mounted
- Landing station lowest button (mm)
- Landing station highest button (mm)
- Landing indicator finish
- Landing indicator mounted
- Landing pushes and indicators
- Landing station comments
- Landing DDA Compliance
- Car width (mm)
- Car depth (mm)
- Car height (mm)
- Car wall finishes
- Car ceiling finishes
- Car floor finishes
- Lift Car
- Lift car lighting type
- Lift car lighting mounting
- Distance to nearest corner (mm)
- Height lowest button (mm)
- Height highest button (mm)
- Number of key switches fitted?
- Key switches operate?
- Lift Car Comments
- Lift Car DDA Compliance
- Shaft selector type
- Car Top
- Car Top Comments
- What are the shaft walls constructed in?
- What are the door nibs constructed in?
- What is the shaft roof constructed in?
- What is the lift pit constructed from?
- Lift Shaft
- Number of buffers fitted
- Type of buffers fitted
- Lift Pit
- Lift Pit Comments
- Car Sling
- Type of guide shoes fitted
- Type of compensation fitted
- Sling comments
- Hydraulic Cylinder
- Hydraulic cylinder comments
- Counterweight
- Type of filler weights fitted
- Counterweight comments
- Lift Maintenance and Breakdowns
- Number of maintenance visits completed in the last twelve months
- Comments on maintenance
- Number of breakdowns in the last twelve months
- Comments on lift breakdowns