Lift survey report checklist

Lift Manufacturer

Maximum persons

Maximum load kgs

Speed M/S

Usage level

Low duty Medium duty Heavy duty

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

Are any trap doors of sound construction, counterbalanced and marked with the safe working load?

Yes No N/A

Can the lift car lighting be isolated within the motor room / control panel (MRL)

Yes No N/A

Does the motor lighting meet current standards (200 lux at floor level)?

Yes No N/A

Is emergency lighting fitted and working correctly?

Yes No N/A

Is the mains isolator lockable?

Yes No N/A

Is the motor room access safe with suitable lighting and emergency lighting and any access ladders over 2M in height fitted with hooped protection?

Yes No N/A

Is the motor room door lockable and fitted with an internal release and displaying current motor room entrance notices?

Yes No N/A

Is the motor room light switch fitted adjacent to the motor main entry point and clearly identified?

Yes No N/A

Main isolator rating (amps)

Motor room comments

Control panel manufacturer

Control panel age

Is there a high voltage warning notice fitted to the control panel door and heat notices were resistor boxes are externally mounted?

Yes No N/A

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

Is the valve block of an obsolete design?

No Yes N/A

Hydraulic Drive System Comments

Motor manufacturer

Motor condition

Good Serviceable Poor Upgrade Required.

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

Is guarding fitted to the overspeed governor?

Yes No N/A

Electrical tripping speed (m/s)

Mechanical tripping speed (m/s)

Overspeed governor comments

Door manufacturer

Door operator type

Door equipment condition

Good Serviceable Poor Upgrade Required.

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 indicator type

Lamp Digital TFT Not fitted Hall lanterns

Landing station comments

Are Braille / tactile buttons fitted?

Yes No N/A

Are hall lanterns fitted (above 2 floors)?

Yes No N/A

Are landing indicators fitted (above 2 floors)?

Yes No N/A

Have tactile floor ID plates been fitted at all floors?

Yes No N/A

Is an arrival gong fitted?

Yes No N/A

Is audible call acceptance fitted?

Yes No N/A

Is visual call acceptance fitted?

Yes No N/A

Landing station height and position correct?

Yes No N/A

Car width (mm)

Car depth (mm)

Car height (mm)

Car wall finishes

Car ceiling finishes

Car floor finishes

Are bump rails fitted within the lift car?

No Yes N/A

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

Are Braille / tactile buttons fitted?

Yes No N/A

Are infra-red full height safety edges fitted?

Yes No N/A

Audible floor identification fitted (above 2 floors)?

Yes No N/A

Autodialler and acoustic loop or emergency call system fitted? i.e. wardens call

Yes No N/A

Car lighting a minimum of 100 lux at floor level?

Yes No N/A

Car station height and position correct?

Yes No N/A

Entrance size and type?

Yes No N/A

Handrail fitted in the lift car?

Yes No N/A

Is audible call acceptance fitted?

Yes No N/A

Is visual call acceptance fitted?

Yes No N/A

Mirror fitted in the lift car?

Yes No N/A

Visual floor identification fitted (above 2 floors)?

Yes No N/A

Shaft selector type

Are all pulleys on the car top painted yellow and guarded?

Yes No N/A

Are there any voids around the top of the lift car in excess of 300mm?

Yes No N/A

Is a car top control conforming to either EN81- 1/2 or BS7255 enhanced version fitted?

Yes No N/A

Is a car top emergency communication device fitted?

Yes No N/A

Is a car top light fitted, did it operate correctly at the time of survey?

Yes No N/A

Is a RCD protected socket fitted?

Yes No N/A

Is a run (common) button fitted

Yes No N/A

Is a up inspection limit fitted?

Yes No N/A

Is an emergency stop switch located with 1 metre of the landing threshold?

Yes No N/A

is emergency lighting fitted to the car top?

Yes No N/A

Where voids exceed 300mm is a securely fixed and rigid car top balustrade fitted complete with mid bar and toe board?

Yes No N/A

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?

Is the well enclosure continuous floor to ceiling?

Yes No N/A

Number of buffers fitted

Type of buffers fitted

Are drip trays fitted to the base of the car and counterweight guides?

Yes No N/A

Are pit division screens fitted up to an height of 2.5M where the lift shares a shaft?

Yes No N/A

Can the shaft lighting be switched on/ off from the lift pit?

Yes No N/A

Is the compensation rope/chain pulley electrically interlocked?

Yes No N/A

Is the mechanical restraint electrically interlocked?

Yes No N/A

Is the overspeed governor return pulley electrically switched?

Yes No N/A

Is the overspeed governor return pulley guarded?

Yes No N/A

Is the pit clear of any water or oil?

Yes No N/A

Is the pit stop switch(es) easily accessible form both the pit and landing?

Yes No N/A

Is there a 240v pit socket fitted?

Yes No N/A

Is there a compensation rope/chain pulley fitted?

Yes No N/A

Is there a suitable access ladder to allow safe access and egress to and from the pit area?

Yes No N/A

on hydraulic lifts are lifts with shallow pit depths, is a mechanical restraint provided?

Yes No N/A

On shallow pits, is a restricted pit depth notice displayed?

Yes No N/A

On traction lifts is a counterweight screen which extend to an height of 2.5M from the pit floor fitted?

Yes No N/A

Was the pit found in a clean condition and free of rubbish?

Yes No N/A

Lift Pit Comments

Type of safety gear fitted

instantaneous Progressive Not fitted - Direct acting lift Not fitted

Type of guide shoes fitted

Type of compensation fitted

Sling comments

Number of hydraulic rams fitted?

1 2 3 4

Hydraulic cylinder comments

Counterweight type

Frame Cast Tie-rod

Type of filler weights fitted

Counterweight comments

Is a current log card available?

Yes No N/A

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

COLLECT ALL YOUR DATA FROM ANY MOBILE DEVICE

Lift survey report checklist

Construction > Lift survey report checklist

Anonymous User

This form is to be used when undertaking a site survey

Lift Details

Lif Motor Room

Control Panel

Hydraulic Drive Unit

Traction Drive System

Overspeed Governor

Entrances

Landing Stations

Lift Car

Car Top

Lift Shaft

Lift Pit

Car Sling

Hydraulic Cylinder

Counterweight

Maintenace

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