Get Annual And Five Year Test Reporting Form

Filling out the ANNUAL AND FIVE YEAR TEST REPORTING FORM online is a straightforward process that ensures compliance with safety regulations for elevator inspections. This guide will provide you with clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete your form online

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the state registration number found in the elevator machine room. This number is essential for identifying the specific elevator being inspected.
3. Next, for section A regarding smoke sensing devices, input the applicable code year and indicate whether all smoke sensors worked correctly in accordance with the ASME A17.1 Elevator Code.
4. Move on to section B, stand-by emergency power test. Here, select whether you are performing an annual or five-year test, and specify the applicable code year. Record your observations on the elevator operations under emergency power.
5. For section C, provide the applicable code year for disconnecting main line power and indicate whether the sprinklers are installed in the elevator. Confirm if the disconnecting devices were tested and if they functioned as required.
6. Fill out the site name, address, city, state, and zip code for the location of the elevator being inspected. Include the name of the testing firm.
7. Finally, enter the date tested, printed name of the authorized agent, and ensure the authorized agent's signature is provided.
8. Once you have completed all sections, make sure to save your changes. You can then download, print, or share the form as needed.

Complete your ANNUAL AND FIVE YEAR TEST REPORTING FORM online today to ensure compliance and safety.