Checklist - Elevator or Dumbwaiter Inspection at a glance
What it is: The Checklist - Elevator or Dumbwaiter Inspection is a form with a Unit Type, an Inspection Type, and Building and Unit Information.
Who signs: The Inspector signs on the Inspector's Signature line.
A filled-in Checklist - Elevator or Dumbwaiter Inspection example: an inspector fills out the checklist
How to fill out Checklist - Elevator or Dumbwaiter Inspection, box by box
Unit Type and Inspection Type
Under Unit Type, mark Dumbwaiter, Passenger Elevator or Freight Elevator.
Under Inspection Type, mark Periodic or Acceptance.
Building and Unit Information
Under Building and Unit Information, enter the Building Name, the Unit Identification, the Address and the Manufacturer.
Enter the Phone No., the Speed in fpm, the Building Representative and the Capacity in lbs.
Elevator: OK, NG or NA
Under 1. ELEVATOR-INSIDE OF CAR and 2. ELEVATOR MACHINE ROOM, mark OK, NG or NA.
Under 3. ELEVATOR-TOP OF CAR and 5. ELEVATOR-PIT, mark OK, NG or NA.
Under 4. ELEVATOR-OUTSIDE HOISTWAY, mark OK, NG or NA.
Under 6. ELEVATOR-FIRE SERVICE, mark OK, NG or NA.
OK - meets requirement.
NG - No Good (Insert number to identify comment on form).
NA - not applicable.
(T) - Traction Elevators only.
(H) - Hydraulic elevators only.
For each NG, enter the Item No., the Comment and the Code Reference.
Inspection Status
Under Inspection Status, enter the Date of Inspection and the Code Edition, and mark PASS, FAIL or Permit Req'd.
Inspection Company & Inspector's Information
Under Inspection Company & Inspector's Information, enter the Company Name, the Street Address and the City, State, Zip.
Enter the Inspector QEI # and the Inspector's State License #.
The Inspector signs on the Inspector's Signature line.
Unit ID on page 2
On the continuation page, enter the Unit ID.
Sources
[1] Checklist - Elevator or Dumbwaiter Inspection (the served file; no issuer file found) (the Official source link on this page).