G-01.pdf
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- FA462626Q0025
About this file
This is a Checklist and Report form for the Periodic Inspection and Test of electric elevators, based on ASME A17.2-2014 standards. The document is a template used to systematically evaluate elevator compliance with safety and operational requirements during periodic inspections. The inspection was conducted on September 09, 2024, by Robert Helms at 7215 Goddard Dr., Malmstrom, MT 59402, for a freight elevator (Class A) with a rated load of 3000 lb and operating speed of 100 fpm. The certifying organization is Montana Building Services, LLC, and the code edition referenced is ASME A17.1-1998.
The checklist is organized into six major inspection categories: Inside of Car (1.1-1.20), Machine Room (2.1-2.42), Top of Car (3.1-3.34), Outside Hoistway (4.1-4.12), Pit (5.1-5.16), and Firefighters' Service (6.1-6.9). Each section contains specific inspection items to be marked as OK (meets requirements), NG (does not meet requirements with comment), or NA (not applicable). The form uses a standardized marking system with checkboxes and requires inspectors to document any non-conformances on the back of the checklist. The inspection template includes specialized earthquake inspection requirements for seismic risk zones 2 or greater and addresses all critical safety systems including emergency exits, braking systems, door operations, safeties, buffers, and rope fastenings.
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Text version
Checklist and Report for Inspection of Electric Elevators
GENERAL NOTES:
(a) See ASME A17.2 for detailed Code requirements. Numbering is tied to the numbering on A17.2 sections.
(b) OK = Meets requirements NG = Insert number to identify comment on back of this checklist NA = Not Applicable
Routine Inspection and Test Periodic Inspection and Test Acceptance Inspection and Test
Address: _______________________________________________________________________________________________________________________________________________________
ID No.: ___________________________________________________________________________ Code Edition: ________________________________________________________________
Passenger Rated Load: _________________________ lb or kg Inspected by: ______________________________________________________________
Freight Class: __________________________________________ Signature: ____________________________________________________________________
Speed: ________________________ fpm or m/s Certifi cate No: _______________ Certifying Organization: ___________________________________________________
OK NG NA
1 INSIDE OF CAR
1.1 Door reopening device
1.2 Stop switches
1.3 Operating control devices
1.4 Sills and car fl oor
1.5 Car lighting and receptacles
1.6 Car emergency signal
1.7 Car door or gate
1.8 Door closing force
1.9 Power closing of doors or gates
1.10 Power opening of doors or gates
1.11 Car vision panels and glass car doors
1.12 Car enclosure
1.13 Emergency exit
1.14 Ventilation
1.15 Signs and operating device symbols
1.16 Rated load, platform area and data plate
1.17 Standby power operation
1.18 Restricted opening of car or hoistway doors
1.19 Car ride
1.20 Earthquake inspection and tests
(seismic risk zone 2 or greater)
2 MACHINE ROOM
2.1 Access to machine space
2.2 Headroom
2.3 Lighting and receptacles
2.4 Machine space
2.5 Housekeeping
2.6 Ventilation
2.7 Fire extinguisher
2 MACHINE ROOM (continued) OK NG NA
2 MACHINE ROOM (continued)
2.8 Pipes, wiring and ducts
2.9 Guarding of exposed auxiliary equipment
2.10 Numbering of elevators, machines, controllers and disconnect switches
2.11 Disconnecting means and control
2.12 Controller wiring, fuses, grounding, etc.
2.13 Governor, overspeed switch and seal
2.14 Code data plate
2.15 Static control
2.16 Overhead beam and fastenings
2.17 Drive machine brake
2.18 Traction drive machines
2.19 Gears, bearings and fl exible couplings
2.20 Winding drum machine and slack cable rope
device, stop motion switch and rope fastening
2.21 Belt or chain drive machine
2.22 Motor generator
2.23 Absorption of regenerated power
2.24 AC drives from a DC source
2.25 Traction sheaves
2.26 Secondary and defl ector sheaves
2.27 Rope fastenings
2.28 Terminal stopping devices
2.29 Car and counterweight safeties
2.38 Roped water hydraulic elevators
2.40 MCP and Maintenance Records
2.41 Static Control
2.42 Earthquake inspection and tests
(seismic risk zone 2 or greater)
(continued on page 2)
(from Code Data Plate)
OK NG NA
3 TOP OF CAR
3.1 Top of car stop switch
3.2 Car top light and outlet
3.3 Top of car operating device
3.4 Top of car clearance, refuge space
and standard railing
3.5 Normal terminal stopping device
3.6 Final and emergency terminal stopping devices
3.7 Car leveling and anticreep devices
3.8 Top emergency exit
3.9 Floor and emergency identifi cation numbering
3.10 Hoistway construction
3.11 Hoistway smoke control
3.12 Pipes, wiring and ducts
3.13 Windows, projections, recesses and setbacks
3.14 Hoistway clearances
3.15 Multiple hoistways
3.16 Traveling cables and junction boxes
3.17 Door and gate equipment
3.18 Car frame and stiles
3.19 Guide rails, fastenings and equipment
3.20 Governor rope
3.21 Governor releasing carrier
3.22 Wire rope fastening and hitch plate
3.23 Suspension means
3.27 Crosshead data plate and rope data tags
3.28 Counterweight and counterweight buffer
3.29 Counterweight safeties
3.30 Speed test
3.33 Compensating ropes and chains
3.34 Earthquake inspection and tests
(seismic risk zone 2 or greater)
4 OUTSIDE HOISTWAY
4.1 Car platform guard
4.2 Hoistway doors
4.3 Vision panels
4.4 Hoistway door locking devices
4.5 Access to hoistway
4.6 Power closing of hoistway doors
4.7 Sequence operation
4.8 Hoistway enclosure
4.9 Elevator parking device
4.10 Emergency doors in blind hoistways
4.12 Standby power selection switch
2 MACHINE ROOM (continued) OK NG NA
5 PIT
5.1 Pit access, lighting, stop switch and condition
5.2 Bottom clearance, runby and minimum
refuge space
5.3 Final and emergency terminal stopping device
5.4 Normal terminal stopping devices
5.5 Traveling cables
5.6 Governor rope tension device
5.7 Car frame and platform
5.8 Car and counterweight safeties
and guiding members
5.9 Buffers and emergency terminal
speed limiting devices
5.10 Compensating chains, ropes and sheaves
5.12 Car buffer
5.13 Guiding members (rails, rollers, slides)
5.16 Earthquake inspection and tests
(seismic risk zone 2 or greater)
6 FIREFIGHTERS’ SERVICE (FEO)
6.1 A17.1b-1973 through A17.1b-1980
6.2 A17.1-1981 through A17.1b-1983
6.3 A17.1-1984 through A17.1a-1988 and A17.3
6.4 A17.1b-1989 through A17.1b-2000
6.5 A17.1-2000 and B44-00
6.6 A17.1-2004 and B44-04
6.7 A17.1-2007 and B44-07
6.8 A17.1-2010 and B44-10
6.9 A17.1-2013 and B44-13
Comments: ______________________________________________________________
Reprinted from ASME A17.2-2014, by permission of The American Society of Mechanical Engineers. All rights reserved.
| Address: 7215 Goddard Dr., Malmstrom, MT 59402 |
| ID No: G-01 |
| Rated Load: 3000 |
| Routine: Off |
| Periodic: On |
| Acceptance: Off |
| Inspected By: Robert Helms / September 09, 2024 |
| Certifying Organization: Montana Building Services, LLC |
| Code Edition: ASME A17.1 - 1998 |
| Certificate No: N/A |
| Speed: 100 |
| Class: A |
| Passenger: Off |
| Freight: On |
| 4: |
| 1 OK: On |
| 1 NG: Off |
| 1 NA: Off |
| 12 OK: Off |
| 12 NG: Off |
| 12 NA: On |
| 10 OK: Off |
| 10 NG: Off |
| 10 NA: On |
| 9 OK: Off |
| 9 NG: Off |
| 9 NA: On |
| 8 OK: On |
| 8 NG: Off |
| 8 NA: Off |
| 7 OK: Off |
| 7 NG: Off |
| 7 NA: On |
| 6 OK: Off |
| 6 NG: Off |
| 6 NA: On |
| 5 OK: Off |
| 5 NG: Off |
| 5 NA: Off |
| 4 OK: On |
| 4 NG: Off |
| 4 NA: Off |
| 3 OK: Off |
| 3 NG: Off |
| 3 NA: On |
| 2 OK: Off |
| 2 NG: On |
| 2 NA: Off |
| 6: |
| 1 OK: Off |
| 1 NG: Off |
| 1 NA: On |
| 2 OK: Off |
| 2 NG: Off |
| 2 NA: On |
| 3 OK: Off |
| 3 NG: Off |
| 3 NA: On |
| 4 OK: Off |
| 4 NG: Off |
| 4 NA: On |
| 5 OK: Off |
| 5 NG: Off |
| 5 NA: On |
| 6 OK: Off |
| 6 NG: Off |
| 6 NA: On |
| 7 OK: Off |
| 7 NG: Off |
| 7 NA: On |
| 8 OK: Off |
| 8 NG: Off |
| 8 NA: On |
| 9 OK: Off |
| 9 NG: Off |
| 9 NA: On |
| 3: |
| 8 OK: Off |
| 8 NG: On |
| 8 NA: Off |
| 9 OK: Off |
| 9 NG: On |
| 9 NA: Off |
| 10 OK: On |
| 10 NG: Off |
| 10 NA: Off |
| 11 OK: Off |
| 11 NG: Off |
| 11 NA: On |
| 12 OK: On |
| 12 NG: Off |
| 12 NA: Off |
| 13 OK: Off |
| 13 NG: Off |
| 13 NA: On |
| 14 NG: Off |
| 14 NA: Off |
| 14 OK: On |
| 15 OK: Off |
| 15 NG: Off |
| 15 NA: On |
| 16 OK: Off |
| 16 NG: On |
| 16 NA: Off |
| 17 OK: On |
| 17 NG: Off |
| 17 NA: Off |
| 18 OK: On |
| 18 NG: Off |
| 18 NA: Off |
| 19 OK: Off |
| 19 NG: On |
| 19 NA: Off |
| 20 NG: Off |
| 20 OK: On |
| 21 OK: On |
| 21 NG: Off |
| 21 NA: Off |
| 22 OK: On |
| 22 NG: Off |
| 22 NA: Off |
| 23 OK: On |
| 23 NG: Off |
| 23 NA: Off |
| 27 OK: On |
| 27 NG: Off |
| 27 NA: Off |
| 28 OK: Off |
| 28 NG: On |
| 28 NA: Off |
| 29 OK: Off |
| 29 NG: Off |
| 20 NA: Off |
| 29 NA: On |
| 30 OK: Off |
| 30 NG: Off |
| 30 NA: On |
| 34 OK: Off |
| 34 NG: Off |
| 34 NA: On |
| 33 OK: Off |
| 33 NG: Off |
| 33 NA: On |
| 1 OK: On |
| 1 NG: Off |
| 1 NA: Off |
| 2 OK: On |
| 2 NG: Off |
| 2 NA: Off |
| 3 OK: Off |
| 3 NG: Off |
| 3 NA: Off |
| 4 OK: Off |
| 4 NG: On |
| 4 NA: Off |
| 5 OK: On |
| 5 NG: Off |
| 5 NA: Off |
| 6 OK: On |
| 6 NG: Off |
| 6 NA: Off |
| 7 OK: On |
| 7 NG: Off |
| 7 NA: Off |
| 5: |
| 1 OK: Off |
| 1 NG: On |
| 1 NA: Off |
| 4 OK: On |
| 4 NG: Off |
| 4 NA: Off |
| 5 OK: Off |
| 5 NG: On |
| 5 NA: Off |
| 6 OK: Off |
| 6 NG: On |
| 6 NA: Off |
| 7 OK: On |
| 7 NG: Off |
| 7 NA: Off |
| 12 OK: Off |
| 12 NG: Off |
| 12 NA: Off |
| 13 OK: On |
| 13 NG: Off |
| 13 NA: Off |
| 16 OK: Off |
| 16 NG: Off |
| 16 NA: On |
| 10 OK: Off |
| 10 NG: Off |
| 10 NA: On |
| 8 OK: Off |
| 8 NG: On |
| 8 NA: Off |
| 9 OK: Off |
| 9 NG: Off |
| 9 NA: Off |
| 2 OK: Off |
| 2 NG: On |
| 2 NA: Off |
| 3 OK: Off |
| 3 NG: On |
| 3 NA: Off |
| 2: |
| 8 OK: On |
| 8 NG: Off |
| 8 NA: Off |
| 9 OK: On |
| 9 NG: Off |
| 9 NA: Off |
| 10 OK: On |
| 10 NG: Off |
| 10 NA: Off |
| 11 OK: On |
| 11 NG: Off |
| 11 NA: Off |
| 12 OK: Off |
| 12 NG: On |
| 12 NA: Off |
| 38 OK: Off |
| 38 NG: Off |
| 38 NA: On |
| 40 OK: On |
| 40 NG: Off |
| 40 NA: Off |
| 41 OK: On |
| 41 NG: Off |
| 41 NA: Off |
| 42 NG: Off |
| 42 NA: On |
| 42 OK: Off |
| 1 OK: On |
| 1 NG: Off |
| 1 NA: Off |
| 2 OK: On |
| 2 NG: Off |
| 2 NA: Off |
| 3 NA: Off |
| 3 OK: On |
| 3 NG: Off |
| 4 OK: On |
| 4 NG: Off |
| 4 NA: Off |
| 5 OK: Off |
| 5 NG: On |
| 5 NA: Off |
| 6 OK: Off |
| 6 NG: Off |
| 6 NA: On |
| 7 OK: Off |
| 7 NG: Off |
| 7 NA: Off |
| 29 OK: Off |
| 29 NG: On |
| 29 NA: Off |
| 28 OK: On |
| 28 NG: Off |
| 28 NA: Off |
| 27 OK: On |
| 27 NG: Off |
| 27NA: Off |
| 26 OK: Off |
| 26 NG: Off |
| 26 NA: On |
| 25 OK: On |
| 25 NG: Off |
| 25 NA: Off |
| 24 OK: Off |
| 24 NG: Off |
| 24 NA: On |
| 13 NA: Off |
| 14 NG: On |
| 14 NA: Off |
| 13 OK: On |
| 13 NG: Off |
| 14 OK: Off |
| 23 OK: Off |
| 23 NG: Off |
| 23 NA: On |
| 22 OK: Off |
| 22 NG: Off |
| 22 NA: On |
| 21 OK: Off |
| 21 NG: Off |
| 21 NA: On |
| 20 OK: Off |
| 20 NG: Off |
| 20 NA: On |
| 19 OK: On |
| 19 NG: Off |
| 19 NA: Off |
| 18 OK: On |
| 18 NG: Off |
| 18 NA: Off |
| 17 OK: Off |
| 17 NG: On |
| 17 NA: Off |
| 16 OK: Off |
| 16 NG: Off |
| 16 NA: On |
| 15 OK: On |
| 15 NG: Off |
| 15 NA: Off |
| 1: |
| 1 OK: Off |
| 1 NG: Off |
| 1 NA: On |
| 2 OK: On |
| 2 NG: Off |
| 2 NA: Off |
| 3 OK: On |
| 3 NG: Off |
| 3 NA: Off |
| 4 OK: Off |
| 4 NG: On |
| 4 NA: Off |
| 5 OK: On |
| 5 NG: Off |
| 5 NA: Off |
| 6 OK: On |
| 6 NG: Off |
| 6 NA: Off |
| 7 OK: On |
| 7 NG: Off |
| 7 NA: Off |
| 8 OK: Off |
| 8 NG: Off |
| 8 NA: On |
| 9 OK: Off |
| 9 NG: Off |
| 9 NA: On |
| 10 OK: Off |
| 10 NG: Off |
| 10 NA: On |
| 11 OK: Off |
| 11 NG: Off |
| 11 NA: On |
| 12 OK: On |
| 12 NG: Off |
| 12 NA: Off |
| 13 OK: Off |
| 13 NG: On |
| 13 NA: Off |
| 14 OK: Off |
| 14 NG: Off |
| 14 NA: On |
| 15 OK: On |
| 15 NG: Off |
| 15 NA: Off |
| 16 OK: On |
| 16 NG: Off |
| 16 NA: Off |
| 17 OK: Off |
| 17 NG: On |
| 17 NA: Off |
| 18 OK: On |
| 18 NG: Off |
| 18 NA: Off |
| 19 OK: On |
| 19 NG: Off |
| 19 NA: Off |
| 20 OK: Off |
| 20 NG: Off |
| 20 NA: On |
| Sig: |
| Comments: See Attached |
3.4 Extremely Dangerous Situation
3.8 Extremely Dangerous Situation
4.5 Extremely Dangerous Situation
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