Date:__________________

ELEVATOR INSPECTION CHECKSHEET

Inside Elevator Room:

Sr.
Check Points Status Remarks
No.
1. Check the working of Position Indicator Lights Yes No

2. Check Up-Down movement, Check Levelling OK Not OK

Accuracy, Acceleration & Deceleration
3. Check the Door moves smoothly and does OK Not OK
not Slam or bounce
Outside Elevator Room:

Sr.
Check Points Status Remarks
No.
1. Check the Hall stations and Lights OK Not OK

2. Inspect the Door Panel and Clearances OK Not OK

3. Test the Phase-I fire fighting equipments & OK Not OK

services
Machine Room:

Sr.
Check Points Status Remarks
No.
1. Check the Machine room to be free from any OK Not OK
material lying unrelated to Elevator
2. Check all the components for Leaks, OK Not OK
Vibrations, Wear & Tear.
3. Check the Lubrication of the components OK Not OK

4. Check the Oil level OK Not OK

Checked By Verified By
 Date:____________________

CHECKSHEET FOR EXAMINATION OF PRESSURE VESSEL

Sr. Check Points Remarks

No.
1. Name, description and distinctive number of pressure vessel

2. Name and address of manufacturer and reference to their test

certificate or certificate of competent person
3 Nature of process in which it is used
4 Particulars of vessel or plant -
(a) Date of construction
(b) Thickness of walls
(c) Date on which the vessel or plant was first taken into use
(d) Maximum permissible working pressure recommended by the
manufacturer
(e) Design pressure, if known (the history should be briefly given and
the examiner should state whether he has seen the previous report

5 Date of last hydrostatic test (if any) and pressure applied

6 Is the pressure vessel or plant is open otherwise exposed to whether
or to damp
7 What parts (if any) were inaccessible
8 Condition of pressure vessel or Plant

9 Are the Required fittings and appliances provided

10 Are all fittings and appliances properly maintained and in good

condition? Have the pressure settings been checked or corrected?

11 Repairs (if any) required and period within which the person making
the examination think it necessary to specify for securing safe working

12 Maximum permissible working pressure

13 Other Observations

Checked By
 Date :________________

CHECKSHEET FOR EXAMINATION OF HOIST OR LIFT

Sr.
Check Points Remarks
No.
1 Type of Hoist

2 Date of construction

3 Check Enclosure of hoist way or lift way

4 Check Landing gates and cage gate(s)

5 Check Interlocks on the landing gates and cage(s)

6 Check Gate fastenings

7 Check Cage or platform and fittings, cage guides, buffers,

interior of the hoist way or lift way
8 Check over runnings devices

9 Check Suspension ropes or chains, and their attachments

10 Check Safety gear, i.e., arrangements for preventing fall of

platform or cage brakes
11 Check Brakes

12 Check Worm or spur gearing

13 Check Other electrical equipment

14 Maximum Safe working load subject to repairs, renewals or

alterations

Checked By