Free Elevator Inspection Form

Fill out the form below to properly log the inspection.
General Information
Building Name/Address
Type of Elevator
Passenger
Freight
Service
Capacity
Last Inspection Date
Manufacturer
Inspection Checklist
Emergency Stop Button
Pass
Fail
Door Safety Mechanism
Pass
Fail
Emergency Phone/Communication System
Pass
Fail
Elevator Doors
Pass
Fail
Cab Interior
Pass
Fail
Shaft Condition
Pass
Fail
Smooth Acceleration/Deceleration
Pass
Fail
Noise Levels During Operation
Normal
Excessive
Current Permit Displayed
Inspection Sticker Up to Date
Certification
I certify that the above inspection has been completed to the best of my professional knowledge and complies with applicable safety standards.
Date:
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