Elevator Preventive Maintenance Checklist
Use this checklist to perform routine maintenance and inspection of elevator systems to ensure safe operation, compliance, and reliability.
Elevator Information
Elevator ID / Number
*
Building Name
*
Location
*
Manufacturer & Model
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Middle Name
Last Name
Maintenance Actions
Maintenance performed
*
Cleaning
Lubrication
Adjustment
Repair
Parts replacement
Parts replaced
Issues & Corrective Actions
Issues Identified
Corrective Actions Taken
Further Service Required
*
Yes
No
Final Section
Elevator Condition
*
Please Select
Safe for Operation
Needs Maintenance
Not Safe for Use
Technician Signature
*
Completion Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: