This form is to help you assess your own elevator safety. It will not be submitted to us. If you answer “NO” to any question below, immediately contact your elevator service provider for corrective action.
If you believe that you have an unsafe condition, remove the elevator from service prior to calling the service provider.
If you would like a professional assessment of the situation, please contact us.
Elevator Safety Checklist
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- Is the elevator in good working order as far as it relates to:
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
- Is the floor in each elevator and hoistway area well-maintained and free of slipping hazards?
YES NO
- Is each elevator area well-lit so that passengers can view misleveling easily?
YES NO
- Does the elevator have working emergency lighting? (Request elevator mechanic to test when on site)
YES NO
- Are you familiar with the elevator control buttons that passengers may need to use? ( Door open, Alarm, etc.)
YES NO
- Are plants or furniture close enough to the elevator that they may present a tripping hazard?
YES NO
- Is the elevator clearly marked?
YES NO
- Are the elevator interiors and hoistway entrances clean?
YES NO
- Are the stairways clearly marked for use during a fire or when the elevator is out of service?
YES NO
- Is the elevator in good working order as far as it relates to: