LIFT INSTALLATION PERFORMANCE QUALIFICATION RECORD

COMPANY: EXPRESS ELEVATOR LTD REF No: EEL/RDKS/WPS-01 Rev. 0 Cert No: 2024/187
PROJECT: RONG DHONU KALLAN SAMITY IC/Pro No: 0 6302252- W.ID: -
DESCRIPTION: INSTALLATION AND MAINTENANCE Base Metal: 0.5” SCH 808
Essential Variables for Installs Actual Variables Used Actual Ranges Qualified
Process/type INSTALLATION - MANUAL WORKING DAYS
Mechanical Parts - -
Process 1 Lift Shaft Scaffolding & Rope Setting 1 to 2 Days
Process 2 Shall Planning 3 to 5 Days
Process 3 Guide & Bracket Adjusting 6 to 10 Days
Process 4 Door Frame Adjusting 11 to 12 Days
Process 5 Civil Work 13 to 14 Days
Process 6 Lift Cabin Setting 1 4 to 15 Days
Electrical Parts - -
Process 1 Motor Setting 16 to 17 Days
Process 2 Door Setting Adjusting 17 to 20 Days
Process 3 Cable Wiring 21 to 22 Days
Process 4 Electric Power Checkup 23 to 25 Days
Process 5 Commissioning Work 26 to 28 Days
Process 6 Lift Trial Operation 29 to 30 Days
Tests & Examinations Results Report No.
Visual Exam of Installation Accepted -
Guide Adjusting OK
Rope Setting OK
Door Frame Adjusting OK
Cable Wiring OK -
Motor Setting Accepted LEADS 20-0135
Test Coupon Supervised by: Thomas
Conducted by & Installs Tested Date: Thomas / 15-02-2024
We certify that the statements in this record are correct and that the test coupons were prepared, Install and Maintenance
tested in accordance with requirements of Section IX, ASME BPVC – 2022.
This Certificate is valid for a period of one year from the date of issue, however if the Install is not engaged in a given
process of Installing for which the Lift is qualified for a period of 6 months then Re-Qualification is required.

Leads Specialist Services EEL

Name: Name

Signature: ………………………

Date: ……………………………

Certifying Authority
Name: Name

Signature: ………………………

Date: ……………………………