Elevator Maintenance Checklist Form
Please complete the checklist to ensure the elevator is properly maintained.
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Maintenance Technician Name
*
First Name
Last Name
Elevator ID/Number
*
Checklist Items
*
Additional Comments
Signature of Technician
*
Submit
Should be Empty: