Industrial Elevator Vibration Monitoring Log Form
Use this form to record and track vibration-related operating data for industrial elevators. Ensure all fields are completed for each observation.
Site Name / Location
*
Elevator Identification Number
*
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Operating Status During Observation
*
Please Select
Idle
Ascending
Descending
Loading/Unloading
Maintenance Mode
Vibration Observation Summary
*
Vibration Measurement (mm/s or g)
*
Affected Area
*
Please Select
Motor
Gearbox
Cabin
Rails
Counterweight
Other
Severity Assessment
*
Low
Moderate
High
Critical
Probable Cause
*
Please Select
Imbalance
Misalignment
Wear and Tear
Loose Components
Insufficient Lubrication
Other
Immediate Action Taken
*
Follow-up Requirements
*
Submit Log
Should be Empty: