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IB-085

CHECKLIST OF EXAMINATION AND TEST OF ELEVATOR

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Certificate No: Job No:

Client Name & Address

UNIT INFORMATION
Type of Inspection & Test Performed:
Elevator Id.:

Type of Use: Manufacturing Year:

Type of Driving Machine: Suspension Details:

Type of Door: Speed:

Make: Rated Load & Number of Person:

Floor Served: Attending Maintenance Company:

INSPECTION STATUS
Date of Previous Inspection: ASC Test Method No:
Date of Inspection & Test: ASC Test Equipment No:
Next Inspection & Test Due On: Standard Reference& Regulation:
Satisfactory : Inspector Name:
Not Satisfactory: Inspector Signature:

FINDINGS TARGET DATE : CRITICAL FINDINGS TARGET DATE :

Page 1 of 7

ADMIRAL SAFETY CONSULTANTS, TRADE LICENCE NO. 741090, AL-GARHOUD, P.O.BOX 125218, DUBAI -UAE, TEL: 04-2899389, FAX: 04-2840557
Doc.No.ASC-F-51(Rev.04) (15/03/2020)
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Certificate No: Job No:

ITEMS CHECKED

A. Satisfactory B- See remarks/recommendation C- Not STATUS STATUS

A. Satisfactory B- See remarks/recommendation C- Not applicable
applicable A B C A B C
MACHINES & PULLEY SPACE MACHINES & PULLEY SPACE
Maintenance records Safe access and Security of machine
Manufacturer instruction/ operational manual Correct notices, signs & markings are in place
Previous inspection records Housekeeping properly maintained
Machine unit condition and oil levels Equipment not related to safe operation of elevator
Machine unit Brake function Instruction for emergency operation visible
Suspension and rope condition Installed lifting hooks marked with load capacity
Traction sheave & pulley grooves condition Socket outlet in place or working
Machine traction check Main switch function correctly
Slippage test Main switch identifiable and lockable
Communication device (machine room to lift cabin) Electrical wiring condition and protection
Emergency landing device (powered) in working order Earth bonding condition (continuity of resistance) (.5Ω)
Emergency operation system (manual) functioning Controller components are labeled and protected
Ferrules around openings (50 mm) Inspection control station condition
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s
Protection guards on machine rotating parts Machine room or space
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Anti-rope slack Ambient temperature sufficient

Space above rotating parts (300 mm) Fire prevention means provided & in good condition
Over-speed governor condition Ascending car over-speed protection device operational test
Protection means against unintended car movement away
Over-speed governor electrical devices functioning
from landing
Over-speed governor operational test Pressure relief valve test (H)
Safety gear operational test Re-leveling check (H)
Safety gear electrical device function correctly Manual release valve test (H)
Final limit switches function correctly

CAR
Car door closing force check
No usual noise or vibration during operation
In-car ventilation adequate
Leveling accuracy acceptable
In-car emergency light are in place and working
Car floor ceiling, panel and still condition
Car door locking device and electric safety device
condition
Condition and functional check of load control device
Label indicating load capacity are in place and in order
Replacement of main suspension ropes:
Operation during emergency (fire) operation
Car apron in place and proper
In-car normal lighting sufficient
Car alarm function correctly
In-car communication device in place and working
Running clearance (bet.car door sill & well wall)
Condition emergency trap door and electric safety device
Car door reversal devices function correctly
In-car control operating devices function correctly
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Replacement rope or examine rope by the competent person Discard rope immediately
Condition
Class 6x19 FC Class 8x19 FC Class 6x19 FC Class 8x19 FC
Broken Wires randomly
More than 12 per rope lay More than 15 per rope lay More than 24 per rope lay More than 30 per rope lay
distributed outer strands
Broken wires predominating
More than 12 per rope lay More than 8 per rope lay More than 8 per rope lay More than 10 per rope lay
in one or two outer strands
Adjacent Broken wires in
4 4 More than 4 More than 4
one outer strand
Valley Breaks 1 per rope lay 1 per rope lay More than 1 per rope lay More than 1 per rope lay
rope length of one rope lay is approximately to 6xd (where d is the nominal rope diameter)

Certificate No: Job No:

Page 3 of 7
Doc.No.ASC-F-51(Rev.04) (15/03/2020) ITEMS CHECKED

STATUS STATUS
A. Satisfactory B- See remarks/recommendation C- Not applicable A. Satisfactory B- See remarks/recommendation C- Not applicable
A B C A B C

CAR TOP AND INSIDE WELL

Governor rope condition Shaft lightings in place and in order
Governor rope termination correctly made & secure Stopping device in place and functioning
Headroom & clearance Fall protection guard in place
Guiderails condition Lighting & socket outlet in place and in order
Warning notice, signs & operating instruction in place Trailing cables condition
Compensating chain/ropes condition Car top inspection control station
Compensating chain/ropes termination made correctly Car & counterweight guides/roller condition
Any deflector pulley installed are guarded
LANDING DOOR ASSEMBLY AND LANDING FLOOR
Landing door electrical safety device condition
Landing door unlocking device
(The electric safety device shall not be activated unless the
(Locking elements are engaged by at least 7 mm.)
locking elements are engaged by at least 7 mm)
Landing door self-closing mechanism Landing door operational clearance
Landing door guides condition sill and apron condition Effective mechanically landing door locking
Lighting at landings adequate Hall panel buttons and indicators

PIT
Anti-rebound condition Setbacks, recesses & openings
Counterweight & car buffer condition Bottom clearance and refuge space
Car and counterweight run-bys Counter weight screen/guard in place
Buffer electric safety device are in place &
Partition screen in pit between elevators in place and in order
function correctly
Governor tension device and electric
Lighting and socket outlets in place and in order
safety device
Stopping device in place and functioning Access safe and easy
Buffers data plate details available and readable Oil level of buffers
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OTHER SPECIFICATIONS (IF APPLICABLE)

NON-DESTRUCTIVE TESTING YES □ NO □ PRESSURE EQUIPMENT YES □ NO □ TORQUE TEST YES □ NO □

1. Two stop switches shall be provided; for pits with depth greater than 1.6 m. the upper switch within a vertical distance of minimum 1.0 m above the
lowest landing floor and within a horizontal distance of maximum 0.75 m from the door frame inner edge. The lower one within a maximum vertical
distance of 1.20 m above pit floor operable from refuge space.
2. A means to enter the pit shall be provided consisting of
a) an access door where the pit depth exceeds 2.50 m;
b) either an access door or a ladder inside the well, easily accessible from the landing door, where the pit depth is not exceeding 2.50 m.
3. If accessible spaces do exist below the well, the base of the pit shall be designed for an imposed load of at least 5 000 N/m2.
4. Partition between different moving parts of lifts shall extend from the pit floor to a height of 2.50 m above the floor of the lowest landing.
5. The height of the vertical portion of apron shall be at least 0.75 m.
6. The horizontal distance between the sill of the car and sill of the landing doors shall not exceed 35 mm.
7. When closed, the clearance between door panels, or between panels and uprights, lintels or sills, shall not exceed 6 mm.

Note:
1. H-For hydraulic drive.
2. Depending on the elevator design and type of drive, some of the above items may not be applicable.

Ite FINDINGS & CRITICAL FINDINGS

m
No.
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Doc.No.ASC-F-51(Rev.04) (15/03/2020) Page 7 of 7