Service Worksheet

Visit Details
Customer Job / Project No.
Customer Contact
Site Telephone Number
Address Engineer(s)
Postcode
Visit Type Breakdown Repair Periodic Inspection Warranty Service Service Interval
Hours
Day Date Start Finish Day Date Start Finish
Mon / / : : Fri / / : :
Tue / / : : Sat / / : :
Wed / / : : Sun / / : :
Thurs / / : : Other
Equipment Information
Model Machine Hours
Serial No. Date of manufacture Elevator/hoist plant I.D.
Rated speed Rated No. of passengers Safe working load last oil change Date
Safety Device
Part No. Serial No. Expiry Date
Service Items
Check boxes Refer to the relevant O&M manual for guidance on items to be checked & intervals. Only tick the boxes for items inspected this time.

Key A – IN GOOD ORDER B – WORN – Refer to Notes C – REQUIRES IMMEDIATE ACTION. Refer to Notes

Ref Item NA A B C Ref Item NA A B C

General

1 Test certificate / Manuals 28 Side panels

2 Service Log 29 Emergency lowering
Car

3 Data Plate 30 Isolator / Electrical equipment

4 Safety device unit 31 Incoming voltage record
5 Base gate/door 32 Lighting
Base slab /pit /Foundation
6 33 Buffer Springs
Base

fixing
Machinery

Drive pinions; wear, adjustment (measure @

7 Base level hoistway protection 34
PI and record results)
8 Isolator/Electrical equipment 35 Drive pinion wear
9 Gate, door entrance / exit 36 Drive pinion adjustment
10 Down limit switch 37 Safety device resetting tool
11 Limit switch for trap door 38 Centrifugal brakes
12 Ultimate / Final limit switch 39 Mast sections
13 Up limit switch 40 Mast bolts
Car

Limit switches, for gates / Mast racks

14 41
doors (measure @ 12 month PI and record results)
15 Control switch / buttons 42 Cable Handling System
16 Safety notices / signs 43 Wall ties and fixings
Structural Supports (e.g. Vertical pipes,
17 Electrical Equipment 44
Landing Beams, Pipe Supports)
Structure

18
Emergency telephone / Alarm 45 Limit cams top, bottom
Guide / Support roller Landing gates / doors electrical / Mechanical
19 46
assemblies; wear & adjustment Interlocks
Brakes assembly, performance NDT test (3 years). Results recorded
20 47
and adjustment separately
Machinery

21 Drive motors 48 Stop Cams at landing levels.

22 Gearbox oil levels / condition 49 Guarding / Hoist way Protection
23 Safety pinion 50 Car floor & roof
24 Mechanical interlocks 51 Adjacent scaffolding / structures
25 Gate switch assemblies 52 Corrosion Protection
26 Housekeeping 53 Mast sections
27 Cat Head & Sheaves 54 Mast bolts
Additional Checks
55
Measurements
Brakes Centrifugal Brakes Rack Pinion Mast
Top
Middle
Bottom

Global Service Worksheet

Form approved by Patrik Sundqvist, General manager After sales. Date: 2015-07-01, Edition: 1
 Service Worksheet
Completed
Ref Work Carried Out this visit - Include part references where known Yes No

Ref Work still to be completed from this visit / further visit required- Include part references where known

Ref Work identified during this visit that require quotation / further visit- Include part references where known

1 3 5
Recommendations Year Year Year Comments
Electrical Upgrade
Motor
Gearbox
Brake
Mechanical upgrade
Mast replacement
Rack replacement
Doors
Complete car exchange
Other (specify)
I hereby certify that I have completed all stated works in accordance with the manufacturers requirements.

Alimak Hek Employee

Name Signature Date
I hereby certify that the stated works have been carried out to my satisfaction.

Customer Representative
Name Signature Date

Global Service Worksheet

Form approved by Patrik Sundqvist, General manager After sales. Date: 2015-07-01, Edition: 1