Elevator Entrapment and Callback Log
Elevator Entrapment and Callback Log
Inspection log for documenting elevator entrapments, callback events, response times, technician dispatch, restoration status, and follow-up actions to support life-safety compliance and service reliability.
Event Identification
-
Building and elevator identification recorded
Document the building name, elevator number or car ID, and exact location.
-
Event type selected
Select the primary event classification.
-
Event date and time recorded
Record when the event was reported or discovered.
-
Reporter name and contact recorded
Record the person who reported the incident and a callback number or extension.
-
Number of occupants affected
Enter the number of people inside the elevator or otherwise affected.
-
Occupant condition noted
Document the observed or reported condition of trapped occupants.
Response Time and Initial Assessment
-
Time from report to acknowledgment recorded
Enter the elapsed time between the report and first acknowledgment.
-
Time from report to on-site arrival recorded
Enter the elapsed time between the report and arrival of the responder or technician.
-
Elevator secured and taken out of service
Confirm the car was secured, isolated if necessary, and removed from service pending release or repair.
-
Initial condition observed
Document the apparent condition of the elevator at first assessment.
-
Immediate occupant communication provided
Confirm trapped occupants were informed that help was on the way and given calm, clear instructions.
Technician Dispatch and Coordination
-
Service technician or vendor dispatched
Confirm a qualified elevator service technician or authorized vendor was dispatched.
-
Dispatch time recorded
Record the exact time the technician or vendor was dispatched.
-
Technician arrival time recorded
Record the exact time the technician arrived on site.
-
Vendor or technician name recorded
Document the company name and technician name or ID, if available.
-
Escalation to AHJ or emergency services required
Indicate whether the incident required escalation to the Authority Having Jurisdiction, fire department, or emergency medical services.
-
Lockout-tagout or equivalent isolation applied when required
Confirm energy isolation and lockout-tagout controls were used when maintenance conditions required them.
Release and Restoration Verification
-
Occupants safely released
Confirm all trapped occupants were released without further incident.
-
Release time recorded
Record the exact time occupants were released.
-
Elevator returned to service only after verification
Confirm the elevator was not returned to service until the condition was verified safe by qualified personnel.
-
Post-event operational check completed
Confirm a functional check was completed after release and before reopening the elevator.
-
Deficiency documented for follow-up repair
Record whether a mechanical, electrical, or door-system deficiency remains and requires repair.
Incident Documentation and Corrective Action
-
Root cause or suspected cause documented
Summarize the suspected cause of the entrapment or callback event.
-
Corrective action documented
Describe repairs, adjustments, resets, testing, or vendor actions taken.
-
Follow-up inspection or monitoring scheduled
Record the date and time for any required follow-up inspection or monitoring.
-
Reference to service report or work order
Enter the related work order number, service report ID, or maintenance ticket.
-
Inspector or responder signature
Signature of the person completing the log.
Ask AI
Template Studio