A06_Elevator_Checklist.pdf

WOMEN’S RIGHTS NATIONAL HISTORICAL PARK

Checklist – Elevator or Dumbwaiter Inspection Unit Type Dumb Waiter ☐ Passenger Elevator ☐ Freight Elevator ☐

Building and Unit Information

Building Name: Unit Identification:

Address: ,NY Manufacturer:

Phone No: Speed: fpm Building Representative: Capacity: lbs

Inspection Type Periodic ☐ Acceptance ☐

1 ELEVATOR-INSIDE OF CAR OK NG NA 2 ELEVATOR-MACHINE ROOM (cont.) OK NG NA

1.1 Door reopening device ☐ ☐ ☐ 2.24 (T) AC drives from a DC source ☐ ☐ ☐

1.2 Stop switches ☐ ☐ ☐ 2.25 (T) Traction sheaves ☐ ☐ ☐

1.3 Operating control devices ☐ ☐ ☐ 2.26 (T) Secondary & deflector sheaves ☐ ☐ ☐

1.4 Sills & car floor ☐ ☐ ☐ 2.27 (T) Rope fastenings ☐ ☐ ☐

1.5 Car lighting & receptacles ☐ ☐ ☐ 2.28 (T) Terminal stopping devices ☐ ☐ ☐

1.6 Car emergency signal-lighting ☐ ☐ ☐ 2.29 (T) Car & counterweight safeties ☐ ☐ ☐

1.7 Car door or gate ☐ ☐ ☐ 2.30 (H) Hydraulic power unit ☐ ☐ ☐

1.8 Door closing force ☐ ☐ ☐ 2.31 (H) Relief valves ☐ ☐ ☐

1.9 Power closing of doors or gates ☐ ☐ ☐ 2.32 (H) Control valve ☐ ☐ ☐

1.10 Power opening of doors or gates ☐ ☐ ☐ 2.33 (H) Tanks ☐ ☐ ☐

1.11 Car vision panels & glass car doors ☐ ☐ ☐ 2.34 (H) Flex hydraulic hose & fit assemblies ☐ ☐ ☐

1.12 Car enclosure ☐ ☐ ☐ 2.35 (H) Supply line & shutoff valve ☐ ☐ ☐

1.13 Emergency exit ☐ ☐ ☐ 2.36 (H) Hydraulic cylinders ☐ ☐ ☐

1.14 Ventilation ☐ ☐ ☐ 2.37 (H) Pressure switch ☐ ☐ ☐

1.15 Signs & operating device symbols ☐ ☐ ☐ 2.38 (H) Roped water hydraulic elevators ☐ ☐ ☐

1.16 Rated load, platform area & data plate ☐ ☐ ☐ 2.39 (H) Low oil protection ☐ ☐ ☐

1.17 Standby power operation ☐ ☐ ☐ 2.40 Inspection control ☐ ☐ ☐

1.18 Restricted opening of car or hoistway doors ☐ ☐ ☐ 2.41 Maintenance Records ☐ ☐ ☐

1.19 Car ride ☐ ☐ ☐ 2.42 Static control ☐ ☐ ☐

2 ELEVATOR-MACHINE ROOM OK NG NA 3 ELEVATOR-TOP OF CAR OK NG NA

2.1 Access to machine space ☐ ☐ ☐ 3.1 Top-of-car stop switch ☐ ☐ ☐

2.2 Headroom ☐ ☐ ☐ 3.2 Car top light & outlet ☐ ☐ ☐

2.3 Lighting & receptacles ☐ ☐ ☐ 3.3 Top-of-car operating device ☐ ☐ ☐

2.4 Machine space ☐ ☐ ☐ 3.4 Normal terminal stopping devices ☐ ☐ ☐

2.5 Housekeeping ☐ ☐ ☐ 3.5 Clearance, refuge space standard railing ☐ ☐ ☐

2.6 Ventilation ☐ ☐ ☐ 3.6 Final & emergency terminal stop device ☐ ☐ ☐

2.7 Fire extinguisher ☐ ☐ ☐ 3.7 Car leveling & anti-creep devices ☐ ☐ ☐

2.8 Pipes, wiring, & ducts ☐ ☐ ☐ 3.8 Top emergency exit ☐ ☐ ☐

2.9 Guarding of exposed auxiliary equipment ☐ ☐ ☐ 3.9 Floor & emergency identifying numbering ☐ ☐ ☐

2.10 Numbering of elevators, machines, disconnects ☐ ☐ ☐ 3.10 Hoistway construction ☐ ☐ ☐

2.11 Disconnecting means & control ☐ ☐ ☐ 3.11 Hoistway smoke control (IDPH only) ☐ ☐ ☐

2.12 Controller wiring, fuses, grounding, etc. ☐ ☐ ☐ 3.12 Pipes, wiring & ducts ☐ ☐ ☐

2.13 Governor, overspeed switch, & seal ☐ ☐ ☐ 3.13 Window, projections, recesses, & setbacks ☐ ☐ ☐

2.14 Code data plate ☐ ☐ ☐ 3.14 Hoistway clearances ☐ ☐ ☐

2.15 (T) Static control ☐ ☐ ☐ 3.15 Multiple hoistways ☐ ☐ ☐

2.16 (T) Overhead beam & fastenings ☐ ☐ ☐ 3.16 Traveling cables & junction boxes ☐ ☐ ☐

2.17 (T) Drive machine brake ☐ ☐ ☐ 3.17 Door &gate equipment ☐ ☐ ☐

2.18 (T) Traction drive machines ☐ ☐ ☐ 3.18 Car frame & stiles ☐ ☐ ☐

2.19 (T) Gears, bearings, & flexible coupling ☐ ☐ ☐ 3.19 Guide rails fastening & equipment ☐ ☐ ☐

2.20 (T) Winding drum mach & slack cable dev ☐ ☐ ☐ 3.20 Governor rope ☐ ☐ ☐

2.21 (T) Belt or chain-drive machine ☐ ☐ ☐ 3.21 Governor releasing carrier ☐ ☐ ☐

2.22 (T) Motor generator ☐ ☐ ☐ 3.22 Wire rope fastening & hitch plate ☐ ☐ ☐

2.23 (T) Absorption ☐ ☐ ☐ 3.23 Suspension rope ☐ ☐ ☐

WOMEN’S RIGHTS NATIONAL HISTORICAL PARK

Checklist – Elevator or Dumbwaiter Inspection

Additional Deficiencies/Notes:

Parts Replaced This Visit:

Company Representative Name:

Company Representative Signature:

Date:

Park Representative Name:

Park Representative Signature:

Date: