Elevator Inspection Sheet - Example.xls
XLS spreadsheet 54 KB Posted
- Attached to
- J061--Elevator Inspections and Testing Service Federal contract opportunity
- Solicitation number
- 36C25021Q0328
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| File | Type | Posted |
|---|---|---|
| Copy of Schedule of Service.xlsx | XLSX spreadsheet | |
| 36C25021Q0328 0001.docx | DOCX document | |
| 36C25021Q0328.docx | DOCX document |
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Text version
Front
| ELEVATOR INSPECTION REPORT | |||||||||||
| (See Instructions on Reverse) | |||||||||||
| 1. REGION | 2. SEMI-ANNUAL | ANNUAL & NO-LOAD TESTS | ANNUAL & 5 YEAR FULL LOAD TESTS | 3. INSPECTION DATE | |||||||
| VA | SEMI | 00/00/0000 | |||||||||
| 4. BUILDING | 5. STREET ADDRESS | 6. CITY | 7. STATE & ZIP CODE | ||||||||
| -0- | VAMC BATTLE CREEK | BATTLE CREEK | MI | ||||||||
| GENERAL | |||||||||||
| 8. NUMBER OF UNITS IN BUILDING: | PASSENGER | FREIGHT | ESCALATOR | DUMBWAITER | OTHER | ||||||
| 9. THIS ELEVATOR: OWNERS NUMBER | 10. TYPE (PASS, FRT, ETC.) | 11. MANUFACTURER | 12. MGR NUMBER | 13. CAP (LBS) | |||||||
| -0- | PASSENGER | DETROIT | E-2083 | 3500 | |||||||
| 14. CONTRACT SPEED | 15. TYPE OF MACHINE (GEARED, TRACTION, DDRUM, ETC) | 16. NO. FLOORS | 17. NO. OPEN | ||||||||
| 72 | HYDRO | 3 | 3 | ||||||||
| 18. TYPE OF CONTROL (UMVIA, C/RHEO) | 19. TYPE OF OPERATION (C.S./P.B./SINGLE/COL/SCI.) | 20 ROPING | YEAR BUILT | ||||||||
| AC | SIMPLEX | 1971 | |||||||||
| LANDINGS ( A ) | COND | ( B ) | COND | ( C ) | COND | ( D ) | COND | ||||
| 22. ENTRANCES | G | ACCESS CONTROL SWITCHES | G | HOISTWAY DOORS | G | EMERGENCY ACCESS KEYWAYS | N | ||||
| 23. THRESHOLD | G | HOISTWAY DOOR GUIDES | G | PARKING DEVICE | N | FRT. DOOR SAFETY ASTRAGALS | N | ||||
| 24. SUPERVISORY (STARTER) PANEL | N | PANEL - TELEPHONE OR INTERCOM | N | HALL POSITION INDICATOR | G | HALL LANTERNS & BUTTONS | G | ||||
| CAR (INTERIOR) | |||||||||||
| 25. THRESHOLD | G | FLOOR COVERING | G | SAFETY WRENCH PLATE | N | CAR VENTILATION | G | ||||
| 26. WAINSCOT (INT PANELS) | G | BY-PASS BUTTON | N | EMERGENCY EXIT(S) HINGED | G | EMERGENCY EXIT(S) CONTACTED | G | ||||
| 27. CAR DOOR (S) & GATE(S) | G | CAR DOOR GUIDES | G | SAFETY EDGE (CAR GATE/DOOR) | G | DOOR DETECTOR (PHOTO) (GSA) | G | ||||
| 28. CAR DOOR/GATE OPERATION | G | DOOR NUDGING | G | (FRT.) SEQUENCE OPERATION | N | SEQUENCE TIMING & ALARM | N | ||||
| 29. OPERATION PANEL(S) | G | ANNUNCIATOR | N | PANEL - TELEPHONE OR INTERCOM | R | PANEL H. ACCESS SWITCH | G | ||||
| 30. CAR POSITION INDICATOR | G | CAR LIGHTING | G | EMERGENCY LIGHT | G | CLEANLINESS | G | ||||
| CAR (EXTERIOR) | |||||||||||
| 31. CAR TOP OPERATOR | G | CAR TOP LIGHT & RECEPTACLE | G | CAR SHEAVE & GUARD | N | EMERG. LIGHT BATTERIES | G | ||||
| 32. ROPE HITCH | N | GOV. RELEASE CARRIAGE | N | LEVELING DEVICES | G | TOP LIMIT SWITCHES | G | ||||
| 33. SELECTOR DRIVE | N | CAR & CWT. O. H. CLEARANCE | N | O.H. DEFLECTION SHEAVES | N | SHEAVE GUARD & PAN | N | ||||
| 34. CAR GUIDES | G | CWT. GUIDES | N | CWT. SHEAVE | N | RAIL FASTENINGS | G | ||||
| 35. CAR DOOR/GATE OPERATOR | N | DOOR CLUTCH (VANES) | G | CAR GATE/DOOR HANGERS | G | DOOR CONTACT | G | ||||
| 36. HOISTWAY DOOR OPERATOR CLOSER | G | H. DOOR LATCH ROLLERS | G | HOISTWAY DOOR HANGERS | G | INTERLOCKS | G | ||||
| 37. DUST COVERS & SHEAR PLATES | G | TOE GUARD APRON | G | CAR BOTTOM LIGHT | G | JUNCTION BOX & WIRING | G | ||||
| 38. PLATFORM, SLING & SUPPORTS | G | CAR & CWT. COMP. HITCH | N | CAR - BOTTOM CLEARANCE | G | CLEANLINESS | G | ||||
| PIT | |||||||||||
| 39. EMERGENCY STOP SWITCH | G | PIT LADDER (OVER 48") | G | PIT LIGHT | G | BOTTOM LIMIT SWITCHES | G | ||||
| 40. CWT. TO BUFFER CLEARANCE | N | CWT. GUARD | N | COMPENSATION, GUARD, SWT. | N | GOVERNOR CABLE TENSION | N | ||||
| 41. PIT DOOR LOCK | N | ADJ. SHAFT PROTECTION | N | HOISTWAY LIGHTING | N | CLEANLINESS | G | ||||
| MACHINE ROOM | |||||||||||
| 42. MAIN SWITCH | G | VENTILATION | G | GOVERNOR | N | BRAKE SHOE, PINES | N | ||||
| 43. MACHINE | N | MACHINE BEARINGS | N | WORM & GEAR | N | THRUST | N | ||||
| 44. MOTOR BEARINGS | N | MOTOR COMMUTATOR, BRUSHES | N | MOTOR WINDINGS | N | DRIVE SHEAVE, GROOVES | N | ||||
| 45. M. G. SET BEARINGS | N | M. G. COMMUTATOR, BRUSHES | N | M. G. SET WINDINGS | N | TRAVEL NUT, SLACK CABLE SWT. | N | ||||
| 46. EXCITER BEARINGS | N | EXC. COMMUTATOR, BRUSHES | N | EXCITER WINDINGS | N | ROTARY CONVERTER | N | ||||
| 47. CONTROLLER & PARTS | G | M. G. STARTER, BRUSHES | N | RELAY PANEL & PARTS | N | SELECTOR PANEL & PARTS | N | ||||
| CABLES | MATERIALS | NO | SIZE | CONDITION | GOVERNOR | ||||||
| 48. HOIST | |||||||||||
| 49. CAR/CWT. | |||||||||||
| 50. DRUM/CWT. | |||||||||||
| 51. GOVERNOR | |||||||||||
| 52. COMPENSATION | |||||||||||
| 53. SELECTOR | |||||||||||
| 54. SAFETY TAILROPE | |||||||||||
| 55. TRAVELING CABLES | 1 | G | |||||||||
| 56. PROPERTY MANAGER | 57. TYPE OF SERVICE | ||||||||||
| SEMI | |||||||||||
| 58. ELEVATOR INSPECTED BY: | 59. COMPANY | PHONE NO | |||||||||
| SAFETY (5 YEAR & ANNUAL INSPECTIONS ONLY) | |||||||||||
| ( A ) | COND | ( B ) | COND | ( C ) | COND | ( D ) | COND | ||||
| 60. GOVERNOR TYPE | GOV. PLATE SPEED | F.P.M. | POT.SWT. SET | FPM | GOV. TRIP SPEED | ||||||
| 61. GOV JAW MATERIAL | GOVERNOR SEALED | SAFETY TYPE | SAFETY PLATE SPEED | ||||||||
| 62. SAFETY | JAW/RAIL CLEARANCE | ||||||||||
| SWITCH | (LEFT) | (RIGHT) | TEST WITHIN | LBS | TEST AT | ||||||
| 63. 4 RAIL MARK AVER. | IN. | CAR LEVEL PER FT | IN | SAFETY ROPE PULL OUT | IN | TURNS ON DRUM | |||||
| 64. SAFETY TAGGED | CAR BUFFER TYPE | CWT. BUFFER TYPE | BUFFER PLATE LOAD | ||||||||
| 65. BUFFER PLADE SPEED | F.P.M. | BUFFER RUN-IN TEST | FPM | 90 SEC. BUFFER RETURN | BUFFER TAGGED | ||||||
| HYDRAULIC ANNUAL TESTS | |||||||||||
| 66. 2 HOUR TEST LOAD | POWER OFF | RELIEF VALVE | RELIEF VALVE | ||||||||
| TEST LOAD | LBS | 2 HOUR CREEP | IN | SET | TAGGED & SEALED | ||||||
| 67. EMERGENCY TOP TERMINAL | TOP TERMINAL | CONTROL SWITCHES | |||||||||
| SPEED LIMITING DEVICE | TYPE | SPEEL | FPM | SEPARAGE & INDEPENDENT | |||||||
| FIRE AND EMERGENCY CONTROLS | (A-17.1-APPENDIX E) | CUSTODIAN OF KEY | |||||||||
| ALL CARS RETURN NON-STOP TO SELECTED FLOOR | CARS PARKED - DOORS OPEN - LIGHTS ON | ||||||||||
| 68. MASTER SWITCH | FLOOR | ALTERNATE | FLOOR | ||||||||
| CAR RESPONSSE | CONSTANT PRESSURE DOOR OPENING | REOPENING DEVICES DEACTIVATED | |||||||||
| 69. CAR EMERGENCY SWITCH | CAR CALLS ONLY | ||||||||||
| 70. AUTOMATIC DETECTION | INTERCOM | ||||||||||
| RATE OF RISE | FIXED TEMPERATURE | IONIZATION | PHOTO CALL | PASSENGER NOFITICATION | SIGN | ||||||
| 71. INSTRUCTIONS (ALL SPACES MUST BE FILLED IN | |||||||||||
| REFER - ANSI CODE - ALL TERMS, DEFINITIONS, AND QUESTIONS | |||||||||||
| INDICATE IN THE (COND) COLUMN ONE OF THE FOLLOWING: | |||||||||||
| "G" | NEW OR IN GOOD SERVICEABLE CONDITION | ||||||||||
| "R" | RECOMMENDED REPAIR OR REPLACEMENT (EXPLAIN EACH ITEM IN BRIEF WITH CORRECTIVE ACTION UNDEER RECOMMENTATIONS) | ||||||||||
| "N" | ITEMS NOT APPLICABLE | ||||||||||
| 72. ITEM LINE NO | RECOMMENDATIONS | ESTIMATE COST | GSA USE ONLY | ||||||||
| REPAIR FIRE SERVICE AS NEEDED / NOT TESTED |
&L1763
File details come from the government source that posted it. Updated .