Elevator Maintenance Log
Please complete this form to document all elevator maintenance activities and inspections.
Date and Time of Maintenance
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Elevator Identification (ID or Serial Number)
*
Location of Elevator (Building/Floor)
*
Technician Name
*
First Name
Last Name
Technician Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Maintenance Tasks Performed
*
Inspection of mechanical components
Lubrication of moving parts
Check safety devices
Test emergency alarm system
Clean elevator pit and shaft
Other
Were any issues found during inspection?
*
No issues found
Yes, issues found (please specify below)
If issues were found, please describe them
Corrective Actions Taken
Parts Replaced (if any)
Next Scheduled Maintenance Date
-
Month
-
Day
Year
Date
Additional Comments or Notes
Technician Signature
*
Submit Log
Submit Log
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