Run Elevator Entrapment and Callback Log — Free

Event Identification

Building and elevator identification recorded critical (required)

Document the building name, elevator number or car ID, and exact location.

Event type selected critical (required)

Select the primary event classification.

Event date and time recorded critical (required)

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 critical (required)

Enter the number of people inside the elevator or otherwise affected.

Occupant condition noted critical (required)

Document the observed or reported condition of trapped occupants.

Response Time and Initial Assessment

Time from report to acknowledgment recorded critical (required)

Enter the elapsed time between the report and first acknowledgment.

Time from report to on-site arrival recorded critical (required)

Enter the elapsed time between the report and arrival of the responder or technician.

Elevator secured and taken out of service critical (required)

Confirm the car was secured, isolated if necessary, and removed from service pending release or repair.

Yes No N/A

Initial condition observed critical (required)

Document the apparent condition of the elevator at first assessment.

Immediate occupant communication provided critical (required)

Confirm trapped occupants were informed that help was on the way and given calm, clear instructions.

Yes No N/A

Technician Dispatch and Coordination

Service technician or vendor dispatched critical (required)

Confirm a qualified elevator service technician or authorized vendor was dispatched.

Yes No N/A

Dispatch time recorded critical (required)

Record the exact time the technician or vendor was dispatched.

Technician arrival time recorded critical (required)

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 critical (required)

Indicate whether the incident required escalation to the Authority Having Jurisdiction, fire department, or emergency medical services.

Yes No N/A

Lockout-tagout or equivalent isolation applied when required critical (required)

Confirm energy isolation and lockout-tagout controls were used when maintenance conditions required them.

Yes No N/A

Release and Restoration Verification

Occupants safely released critical (required)

Confirm all trapped occupants were released without further incident.

Yes No N/A

Release time recorded critical (required)

Record the exact time occupants were released.

Elevator returned to service only after verification critical (required)

Confirm the elevator was not returned to service until the condition was verified safe by qualified personnel.

Yes No N/A

Post-event operational check completed critical (required)

Confirm a functional check was completed after release and before reopening the elevator.

Yes No N/A

Deficiency documented for follow-up repair

Record whether a mechanical, electrical, or door-system deficiency remains and requires repair.

Yes No N/A

Incident Documentation and Corrective Action

Root cause or suspected cause documented critical (required)

Summarize the suspected cause of the entrapment or callback event.

Corrective action documented critical (required)

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 critical (required)

Signature of the person completing the log.

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Run: Elevator Entrapment and Callback Log

Event Identification

Response Time and Initial Assessment

Technician Dispatch and Coordination

Release and Restoration Verification

Incident Documentation and Corrective Action

Get your results