PT.

IFE JAYA INDONESIA

ELEVATOR INSPECTION RECORDS

QUALITY CONTROL (QC) DEPT.
Building :________________________________ Dated :_____________________
Address :________________________________ Engineer :_____________________
________________________________ Contract No. :_____________________
Lift No. : Passenger (1),(2),(3),(4), & Service (1),(2) Project Code :_____________________

N/I Good Bad Remarks

1 ELEVATOR - INSIDE THE CAR ___________________________________
1. 1 Car Door & Finishes ___________________________________
1. 2 Car Door & Landing Sill ___________________________________
1. 3 Car Lightning ___________________________________
1. 4 Ceiling Standard Design ___________________________________
1. 5 Door Closing ___________________________________
1. 6 Door Open ___________________________________
1. 7 Door Reopening - Reclosing ___________________________________
1. 8 Exhaust fan / Ventilation ___________________________________
1. 9 Exit Door ___________________________________
1. 10 Floor Indicator ___________________________________
1. 11 Operation Control Device ___________________________________
1. 12 Sign of Overload ___________________________________
1. 13 Stop Switch ___________________________________

2 ELEVATOR - MACHINE ROOM N/I Good Bad Remarks

2. 1 Access to Machine Room ___________________________________
2. 2 Drive Machine (traction) ___________________________________
2. 3 Drive Machine Brake ___________________________________
2. 4 Electrical MCB for Elevator ___________________________________
2. 5 Electro Magnetic Brake ___________________________________
2. 6 Fan for Motor ___________________________________
2. 7 Gearbox Set ___________________________________
2. 8 Governor, Overspeed Switches ___________________________________
2. 9 Handle Brake (manual rotary) ___________________________________
2. 10 Head Room (hook) ___________________________________
2. 11 Kavas Magnetic Brake ___________________________________
2. 12 Lightning ___________________________________
2. 13 Machine Space ___________________________________
2. 14 Main Sheave ___________________________________
2. 15 Main Sheave (driving sheave) ___________________________________
2. 16 Numbering of Control Panel ___________________________________
2. 17 Oil Gearbox ___________________________________
2. 18 Pulley (deflector sheave) ___________________________________
2. 19 Rope Fastening ___________________________________
2. 20 Sub - MDB ___________________________________
2. 21 Ventilation / Exhaust fan / AC ___________________________________
PT. IFE JAYA INDONESIA

ELEVATOR INSPECTION RECORDS

QUALITY CONTROL (QC) DEPT.
Building :________________________________ Dated :_____________________
Address :________________________________ Engineer :_____________________
________________________________ Contract No. :_____________________
Lift No. : Passenger (1),(2),(3),(4), & Service (1),(2) Project Code :_____________________

N/I Good Bad Remarks

1 ELEVATOR - INSIDE THE CAR ___________________________________
1. 1 Car Door & Finishes ___________________________________
1. 2 Car Door & Landing Sill ___________________________________
1. 3 Car Lightning ___________________________________
1. 4 Ceiling Standard Design ___________________________________
1. 5 Door Closing ___________________________________
1. 6 Door Open ___________________________________
1. 7 Door Reopening - Reclosing ___________________________________
1. 8 Exhaust fan / Ventilation ___________________________________
1. 9 Exit Door ___________________________________
1. 10 Floor Indicator ___________________________________
1. 11 Operation Control Device ___________________________________
1. 12 Sign of Overload ___________________________________
1. 13 Stop Switch ___________________________________

2 ELEVATOR - MACHINE ROOM N/I Good Bad Remarks

2. 1 Access to Machine Room ___________________________________
2. 2 Drive Machine (traction) ___________________________________
2. 3 Drive Machine Brake ___________________________________
2. 4 Electrical MCB for Elevator ___________________________________
2. 5 Electro Magnetic Brake ___________________________________
2. 6 Fan for Motor ___________________________________
2. 7 Gearbox Set ___________________________________
2. 8 Governor, Overspeed Switches ___________________________________
2. 9 Handle Brake (manual rotary) ___________________________________
2. 10 Head Room (hook) ___________________________________
2. 11 Kavas Magnetic Brake ___________________________________
2. 12 Lightning ___________________________________
2. 13 Machine Space ___________________________________
2. 14 Main Sheave ___________________________________
2. 15 Main Sheave (driving sheave) ___________________________________
2. 16 Numbering of Control Panel ___________________________________
2. 17 Oil Gearbox ___________________________________
2. 18 Pulley (deflector sheave) ___________________________________
2. 19 Rope Fastening ___________________________________
2. 20 Sub - MDB ___________________________________
2. 21 Ventilation / Exhaust fan / AC ___________________________________
PT. IFE JAYA INDONESIA

ELEVATOR INSPECTION RECORDS

QUALITY CONTROL (QC) DEPT.

Building :________________________________ Dated :_____________________

Address :________________________________ Engineer :_____________________
________________________________ Contract No. :_____________________
Lift No. : Passenger (1),(2),(3),(4), & Service (1),(2) Project Code :_____________________

N/I Good Bad Remarks

3 ELEVATOR - TOP OF CAR (SHAFT) ___________________________________
3. 1 C/W Guide Shoe ___________________________________
3. 2 Car Frame ___________________________________
3. 3 Car Guide Shoe ___________________________________
3. 4 Door Equipment, Door Operator, Cam ___________________________________
3. 5 Final Limit (up) ___________________________________
3. 6 Governoor rope ___________________________________
3. 7 Governoor Strength ___________________________________
3. 8 Guide Rail Fastening ___________________________________
3. 9 Hoistway Construction ___________________________________
3. 10 Hoistway Clearance ___________________________________
3. 11 Indicator Switch ___________________________________
3. 12 Lighting & Outlet ___________________________________
3. 13 Maintenance Switches ___________________________________
3. 14 Overload Shaft ___________________________________
3. 15 Safety Link ___________________________________
3. 16 Safety Rod ___________________________________
3. 17 Stop Switch ___________________________________
3. 18 Suspension Rope ___________________________________
3. 19 Top C/W & Clearance ___________________________________
3. 20 Traveling Cable ___________________________________
3. 21 Wire Rope Fastening ___________________________________
3. 22 Wire Rope Hitcplate ___________________________________

4 ELEVATOR PIT N/I Good Bad Remarks

4. 1 Button Clearance ___________________________________
4. 2 C/W Buffer (Spring / Oil) ___________________________________
4. 3 Car Buffer (Spring / Oil) ___________________________________
4. 4 Car Frame & Platform ___________________________________
4. 5 Emergency Terminal Stoping Device ___________________________________
4. 6 Final Switch (down) ___________________________________
4. 7 Governoor Strenght ___________________________________
4. 8 governoor Tension Pulley ___________________________________
4. 9 Overload Switch ___________________________________
4. 10 Pit Access ___________________________________
4. 11 Pit Lightning, Outlet & Switches ___________________________________
4. 12 Traveling Cable ___________________________________

PT. IFE JAYA INDONESIA

ELEVATOR INSPECTION RECORDS

QUALITY CONTROL (QC) DEPT.

Building :________________________________ Dated :_____________________

Address :________________________________ Engineer :_____________________
________________________________ Contract No. :_____________________
Lift No. : Passenger (1),(2),(3),(4), & Service (1),(2) Project Code :_____________________

N/I Good Bad Remarks

5 ELEVATOR - TOP OF CAR (SHAFT) ___________________________________
5. 1 Attendance & Independence Service ___________________________________
5. 2 Automatic Rescue Device (ARD) ___________________________________
5. 3 Door Gate Limit Switch ___________________________________
5. 4 Door Safety Ray (full beam) ___________________________________
5. 5 Door Shoe ___________________________________
5. 6 Door Switch ___________________________________
5. 7 Duplex Operation ___________________________________
5. 8 Extruded Hard Sill for Car ___________________________________
5. 9 Extruded Hard Sill for Landing Door ___________________________________
5. 10 Finishes of Landing Door ___________________________________
5. 11 Fire Emergency Return ___________________________________
5. 12 Firemen Switch (for safety lift only) ___________________________________
5. 13 Hall Indicator & Button ___________________________________
5. 14 Homing Floor Set ___________________________________
5. 15 Landing Door (side, center - opening) ___________________________________
5. 16 Motor Heater Switch ___________________________________
5. 17 Simplex Operation ___________________________________
5. 18 ___________________________________
5. 19 ___________________________________

Conclusion And Suggestion

____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Inspection & Tested by :_______________________ Lift Contractor :_____________________
Witness & Approved by :_______________________ Main Contractor :_____________________
_______________________ Consultant M/E, Arc :_____________________
_______________________ Owner / Building Rep. :_____________________
_______________________ :_____________________
PT. IFE JAYA INDONESIA

ELEVATOR INSPECTION RECORDS

QUALITY CONTROL (QC) DEPT.

Building :________________________________ Dated :_____________________

Address :________________________________ Engineer :_____________________
________________________________ Contract No.:_____________________
Lift No. : Passenger (1),(2),(3),(4), & Service (1),(2) Project Code:_____________________

N/I Good Bad Remarks

1 ELEVATOR - INSIDE THE CAR ___________________________________
1. 1 Car Door & Finishes ___________________________________
1. 2 Car Door & Landing Sill ___________________________________
1. 3 Car Lightning ___________________________________
1. 4 Ceiling Standard Design ___________________________________
1. 5 Door Closing ___________________________________
1. 6 Door Open ___________________________________
1. 7 Door Reopening - Reclosing ___________________________________
1. 8 Exhaust fan / Ventilation ___________________________________
1. 9 Exit Door ___________________________________
1. 10 Floor Indicator ___________________________________
1. 11 Operation Control Device ___________________________________
1. 12 Sign of Overload ___________________________________
1. 13 Stop Switch ___________________________________

2 ELEVATOR - MACHINE ROOM N/I Good Bad Remarks

2. 1 Access to Machine Room ___________________________________
2. 2 Drive Machine (traction) ___________________________________
2. 3 Drive Machine Brake ___________________________________
2. 4 Electrical MCB for Elevator ___________________________________
2. 5 Electro Magnetic Brake ___________________________________
2. 6 Fan for Motor ___________________________________
2. 7 Gearbox Set ___________________________________
2. 8 Governor, Overspeed Switches ___________________________________
2. 9 Handle Brake (manual rotary) ___________________________________
2. 10 Head Room (hook) ___________________________________
2. 11 Kavas Magnetic Brake ___________________________________
2. 12 Lightning ___________________________________
2. 13 Machine Space ___________________________________
2. 14 Main Sheave ___________________________________
2. 15 Main Sheave (driving sheave) ___________________________________
2. 16 Numbering of Control Panel ___________________________________
2. 17 Oil Gearbox ___________________________________
2. 18 Pulley (deflector sheave) ___________________________________
2. 19 Rope Fastening ___________________________________
2. 20 Sub - MDB ___________________________________
2. 21 Ventilation / Exhaust fan / AC ___________________________________

PT. IFE JAYA INDONESIA

 ELEVATOR INSPECTION RECORDS
QUALITY CONTROL (QC) DEPT.

Building :________________________________ Dated :_____________________

Address :________________________________ Engineer :_____________________
________________________________ Contract No.:_____________________
Lift No. : Passenger (1),(2),(3),(4), & Service (1),(2) Project Code:_____________________

N/I Good Bad Remarks

3 ELEVATOR - TOP OF CAR (SHAFT) ___________________________________
3. 1 C/W Guide Shoe ___________________________________
3. 2 Car Frame ___________________________________
3. 3 Car Guide Shoe ___________________________________
3. 4 Door Equipment, Door Operator, Cam ___________________________________
3. 5 Final Limit (up) ___________________________________
3. 6 Governoor rope ___________________________________
3. 7 Governoor Strength ___________________________________
3. 8 Guide Rail Fastening ___________________________________
3. 9 Hoistway Construction ___________________________________
3. 10 Hoistway Clearance ___________________________________
3. 11 Indicator Switch ___________________________________
3. 12 Lighting & Outlet ___________________________________
3. 13 Maintenance Switches ___________________________________
3. 14 Overload Shaft ___________________________________
3. 15 Safety Link ___________________________________
3. 16 Safety Rod ___________________________________
3. 17 Stop Switch ___________________________________
3. 18 Suspension Rope ___________________________________
3. 19 Top C/W & Clearance ___________________________________
3. 20 Traveling Cable ___________________________________
3. 21 Wire Rope Fastening ___________________________________
3. 22 Wire Rope Hitcplate ___________________________________

4 ELEVATOR PIT N/I Good Bad Remarks

4. 1 Button Clearance ___________________________________
4. 2 C/W Buffer (Spring / Oil) ___________________________________
4. 3 Car Buffer (Spring / Oil) ___________________________________
4. 4 Car Frame & Platform ___________________________________
4. 5 Emergency Terminal Stoping Device ___________________________________
4. 6 Final Switch (down) ___________________________________
4. 7 Governoor Strenght ___________________________________
4. 8 governoor Tension Pulley ___________________________________
4. 9 Overload Switch ___________________________________
4. 10 Pit Access ___________________________________
4. 11 Pit Lightning, Outlet & Switches ___________________________________
4. 12 Traveling Cable ___________________________________

PT. IFE JAYA INDONESIA

 ELEVATOR INSPECTION RECORDS
QUALITY CONTROL (QC) DEPT.

Building :________________________________ Dated :_____________________

Address :________________________________ Engineer :_____________________
________________________________ Contract No.:_____________________
Lift No. : Passenger (1),(2),(3),(4), & Service (1),(2) Project Code:_____________________

N/I Good Bad Remarks

5 ELEVATOR - TOP OF CAR (SHAFT) ___________________________________
5. 1 Attendance & Independence Service ___________________________________
5. 2 Automatic Rescue Device (ARD) ___________________________________
5. 3 Door Gate Limit Switch ___________________________________
5. 4 Door Safety Ray (full beam) ___________________________________
5. 5 Door Shoe ___________________________________
5. 6 Door Switch ___________________________________
5. 7 Duplex Operation ___________________________________
5. 8 Extruded Hard Sill for Car ___________________________________
5. 9 Extruded Hard Sill for Landing Door ___________________________________
5. 10 Finishes of Landing Door ___________________________________
5. 11 Fire Emergency Return ___________________________________
5. 12 Firemen Switch (for safety lift only) ___________________________________
5. 13 Hall Indicator & Button ___________________________________
5. 14 Homing Floor Set ___________________________________
5. 15 Landing Door (side, center - opening) ___________________________________
5. 16 Motor Heater Switch ___________________________________
5. 17 Simplex Operation ___________________________________
5. 18 ___________________________________
5. 19 ___________________________________

Conclusion And Suggestion

____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Inspection & Tested by :_______________________ Lift Contractor :_____________________
Witness & Approved by :_______________________ Main Contractor :_____________________
_______________________ Consultant M/E, Arc :_____________________
_______________________ Owner / Building Rep. :_____________________
_______________________ :_____________________