Passenger Freight Capacity Speed Inspected By: RI License No.: Signature of person interviewed Key Code: No Deficiencies - OK
INSIDE OF CAR
Door reopening device Stop switch Operating control devices Car floor and landing sill Car lighting Car emergency signal Car door or gate Door closing force Power closing of doors or gates Power opening of doors or gates Car vision panel & glass car doors Car enclosures Emergency exits Ventilation Signs & operating devices symbols, A/V
Rated load, platform area & data plate
Elevator Co
Safety Test Information: Annual________Annual Relief Valve______3 Year Governor Calibration_____ Needs Repair - NR Not Applicable - NA
HOISTWAY (cont.)
Car frame and stiles Guide rails, fastening, equipment Governors, safeties, ropes and counterweights Railing on top of car
INSIDE HOISTWAY
Car platform guard Hoistway doors Vision panels Hoistway door locking device Access to hoistway Power closing of hoistway doors Sequence operation Hoistway enclosure Elevator parking device Emergency doors in blind hoistways Standby power selection switch PIT Pit access, light and stop switch and condition Bottom clearance and run by Plunger and cylinder Car buffer Normal terminal stopping devices Traveling cables Car frame and platform Guiding members Supply piping Registration number, stamped / marked Certificate posted MISCELLANEOUS CHECKS Firefighters Service (Phase 1 & 2)
Standby power operation Restricted opening of car or hoistway doors Car ride MACHINE ROOM Access to machine space Headroom Lighting and receptacles Enclosure of machinery space Housekeeping Ventilation Fire extinguisher Pipes, wiring and ducts Guarding of exposed equipment Numbering of elevators, machines and disconnect switches Disconnecting means & control
CODE VIOLATIONS: -
*Per R.I.G.L. 23-33-24, violations must be abated within 30 days from the above inspection date.
Please Print FOUR COPIES: DLT - 1, Elevator Co - 1, Customer - 1 and Machine Room - 1