Get Five Year Elevator Load Test Report Elevator State ... - Dir Ca

Completing the five year elevator load test report is essential for compliance with elevator safety regulations. This guide provides you with clear and concise instructions to help you accurately fill out the form online.

Follow the steps to effectively complete your elevator load test report.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the elevator state number in the designated field to identify your specific elevator. This information is crucial for record-keeping.
3. Fill in the date of the test. Make sure to use the exact date the load test was performed to maintain accurate documentation.
4. Provide the location of the elevator by entering the street, city, and zip code in the appropriate fields.
5. Document the elevator rated load as shown on the crosshead data plate. This is necessary to verify the elevator’s operational limits.
6. Input the rated speed as indicated on the data plate, ensuring it does not exceed 110% of the up speed listed.
7. Record the elevator up speed with the rated load, which is critical for evaluating performance under load conditions.
8. Enter the elevator down speed with the rated load. This will help assess the elevator's descending capabilities.
9. Specify the OSV tripping speed and the outside diameter of the ram in the designated fields.
10. Indicate the pit shut off valve rating and MR shut off valve rating to ensure compliance with safety standards.
11. Document the working pressure and the relief valve pressure, which are vital for evaluating system integrity.
12. Provide the maximum centrifugal pump pressure and indicate whether the relief valve is sealed (Yes or No).
13. Record the movement of the elevator with the rated load in 15 minutes. Ensure that the movement is less than .250 inch without proper justification.
14. Confirm if the pressure switch is operational (Yes or No) to ensure proper functionality.
15. Attach the load test data tag and specify the company name, certification number, and expiration date of the CQCC performing the test.
16. Enter the owner's or responsible party’s printed name, obtain necessary signatures, and provide certification numbers and expiration dates.
17. Include phone numbers for all relevant parties before finalizing the report.
18. Once you have completed all fields, review the form for accuracy, then save changes. You may also download, print, or share the completed form as needed.

Complete your elevator load test report online today to ensure compliance and safety.