Elevator Annual Inspection Log

Log for tracking annual elevator inspections, conveyance certificate posting, observed deficiencies, and corrective actions for each elevator or other conveyance.

Inspection Details

• Conveyance identifier
  Unique elevator or conveyance ID, asset number, or location identifier.
• Inspection date and time
  Date and time the annual inspection was performed.
• Inspector name and company
  Name of the qualified inspector or inspection company.
• Building address or site location
  Physical location of the elevator or conveyance.
• Inspection type
  Select the inspection scope performed.

Certificate Posting and Compliance

• Current conveyance certificate is posted
  Certificate is present for the inspected conveyance.
• Certificate is legible and current
  Certificate shows a valid current inspection status and is readable.
• Certificate location is visible to occupants or authorized users
  Certificate is posted in the location required by the AHJ and can be readily found.
• Inspection status matches posted certificate
  Posted certificate status matches the inspection record and any current restrictions.
• Certificate number or permit number recorded
  Record the certificate, permit, or registration number from the posted document.

Elevator Condition and Safety Checks

• Cab interior clean and free of obvious hazards
  No loose debris, trip hazards, exposed sharp edges, or obstructed access inside the cab.
• Door operation normal and unobstructed
  Doors open and close properly without unusual noise, sticking, or visible obstruction.
• Leveling at landing within acceptable tolerance
  Cab stops level with the landing and does not present a trip or fall hazard.
• Emergency communication device operational
  Emergency phone, alarm, or communication system functions as intended.
• Lighting and signage adequate in cab and machine room access area
  Lighting is sufficient for safe use and required signage is visible.
• No visible oil leaks, unusual odors, or abnormal vibration
  Inspect for signs of mechanical or hydraulic issues that may indicate a deficiency.

Deficiencies and Corrective Actions

• Deficiencies identified
  Select all observed deficiencies or non-conformances.
• Corrective action required
  Indicate whether corrective action is needed before the conveyance can be returned to normal status.
• Corrective action summary
  Describe the corrective action taken or required, including responsible party and due date if known.
• Follow-up inspection required
  Indicate whether a re-inspection or verification visit is required after repairs.

Sign-Off and Closure

• Inspection result
  Overall outcome of the annual inspection.
• Inspector signature
  Signature of the inspector completing the annual inspection.
• Facility representative signature
  Signature of the site representative acknowledging the inspection findings.