Elevator Inspection Form Template
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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:

                            Inspection Form Templates @ Template.net