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ELEVATOR SERVICE REPORT

Customer.............................................................................................................Date.................... Lift
No............................
Type of Lift................................ Brand........................ Job No...................
Tel....................................................................
Address: Bldg..............................Road........................Block...............................
Area.........................................................
Check General Conditions In Machine Room
Check Conditions Of All Equipment In Machine Room & Cleaning
Check Cwt Sheave Rotating Condition
Check Plunger Stoke (Conditional Check)
Check Equipment Condition In Control Panel
Check Ride Comfort, Noise, Floor, Door Operation
Check Emergency Exit,
Check Emergency Light In Car
Check Light & Appearance In Car
Check Push Buttons Indicator In Car
Check Interphone / Battery (Operational Check Only)
Check & Clean Equipment On Car Top & Upper Hanger Case
Check Car Top Safety Switches (INS,UP / Down)
Check Car Top Oiler,
Check Cwt Oiler (Oil Level, Lubrication)
Check Safety Switches
Slowing Up/Down Limit Switches (Operation Check)
Check Door Shoes
Check Safety Pad Functions Or Photo Cell
Check Fuse /ELCB / Earth Continuity
Check OSG (Over Speed Governor) Conditions
Check General Condition In Pit & Cleaning
Check Indicators On The Supervisory Panel (If Applicable)
Customer Participation
1. Check Machine Room Doors & Locks
2. Check Machine Room Light & A/C
Customer
Remarks............................................................................................................
................................................................................................................................
..........................
Parts Changed / To Be
Changed....................................................................................................................
....................................................................................................................................................................
......................................
Servicing of the above Lift Was carried out and combined examination was done after Servicing and
the Performance Was Found Satisfactory.

Service Team Name: Customer Signature


Signature / Date: Name:
BREAKDOWN REPORT
Customer......................................................................................................................Job
No......................Date....................
Address: Bldg..................... Road.................... Block................... Area...............................
Tel...........................................
Complaint Receipt Time:...................Time of Arial At Site: .....................Time of Work
Completion:................
Conditions In Elevator/Escalator/Travalator/ BMU Was
Found:..............................................................................
....................................................................................................................................................................
...................................... Rectification Carried
Out.......................................................................................................................................................
....................................................................................................................................................................
...................................... Root
Case............................................................................................................................................................
...........................
....................................................................................................................................................................
......................................

Breakdown Team Name and Sing: Customer Sing:

BREAKDOWN REPORT
Customer......................................................................................................................Job
No......................Date....................
Address: Bldg..................... Road.................... Block................... Area...............................
Tel...........................................
Complaint Receipt Time:...................Time of Arial At Site: .....................Time of Work
Completion:................
Conditions In Elevator/Escalator/Travalator/ BMU Was
Found:..............................................................................
....................................................................................................................................................................
...................................... Rectification Carried
Out.......................................................................................................................................................
....................................................................................................................................................................
...................................... Root
Case............................................................................................................................................................
...........................
....................................................................................................................................................................
......................................

Breakdown Team Name and Sing: Customer Sing:

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