Go backYour message has been sent Service Tech Name(required) Warning Customer #(required) Warning Customer Name Warning Phone # Warning Address Warning City, State Warning Model # Warning Serial # Warning 1. Access to Pit(required) Pass Repair ANSI N/A Warning Comments Warning 2.Pit Light & Switch(required) Pass Repair ANSI N/A Warning Comments Warning 3. Pit Stop Switch(required) Pass Repair ANSI N/A Warning Comments Warning 4. Condition of Pit(required) Pass Repair ANSI N/A Warning Comments Warning 5. Counterweight Buffer Spring(required) Pass Repair ANSI N/A Warning Comments Warning 6. Car Buffer Springs(required) Pass Repair ANSI N/A Warning Comments Warning 7. Counterweight Condition(required) Pass Repair ANSI N/A Warning Comments Warning 8. Counterweight Connections(required) Pass Repair ANSI N/A Warning Comments Warning 9. Counterweight Run-by(required) Pass Repair ANSI N/A Warning Comments Warning 10. Compensation Chain-Rope(required) Pass Repair ANSI N/A Warning Comments Warning 11. Governor Take-up Device(required) Pass Repair ANSI N/A Warning Comments Warning 12. Governor Cable Condition(required) Pass Repair ANSI N/A Warning Comments Warning 13.Governor Connection Condition(required) Pass Repair ANSI N/A Warning Comments Warning 14. Bottom Terminal Limit Switch(required) Pass Repair ANSI N/A Warning Comments Warning 15. Bottom Final Limit Switch(required) Pass Repair ANSI N/A Warning Comments Warning 16. Trail Cord Guide - Cables(required) Pass Repair ANSI N/A Warning Comments Warning 17. Car Condition(required) Pass Repair ANSI N/A Warning Comments Warning 18. Car Light & Switch(required) Pass Repair ANSI N/A Warning Comments Warning 19. Car Emergency Stop Switch(required) Pass Repair ANSI N/A Warning Comments Warning 20. Car Emergency Signal Device(required) Pass Repair ANSI N/A Warning Comments Warning 21. Car Controls(required) Pass Repair ANSI N/A Warning Comments Warning 22. Car Door & Switch(required) Pass Repair ANSI N/A Warning Comments Warning 23. Emergency Escape Hatch & Switch(required) Pass Repair ANSI N/A Warning Comments Warning 24. Car Safety Show Condition(required) Pass Repair ANSI N/A Warning Comments Warning 25. Car Brake Switch(required) Pass Repair ANSI N/A Warning Comments Warning 26. Car Condition(required) Pass Repair ANSI N/A Warning Comments Warning 27. Car Capacity Sign(required) Pass Repair ANSI N/A Warning Comments Warning 28. Car Door Interlock Safety(required) Pass Repair ANSI N/A Warning Comments Warning 29. Car Top Stop Switch(required) Pass Repair ANSI N/A Warning Comments Warning 30. Car Top Light(required) Pass Repair ANSI N/A Warning Comments Warning 31. Car Retiring Cam - Stationary(required) Pass Repair ANSI N/A Warning Comments Warning 32. Car Conduit Connections(required) Pass Repair ANSI N/A Warning Comments Warning 33. Car Guides - Roller Conditions(required) Pass Repair ANSI N/A Warning Comments Warning 34. Car Guide Rail Condition(required) Pass Repair ANSI N/A Warning Comments Warning 35. Counterweight Guide Rail/Enclosure(required) Pass Repair ANSI N/A Warning Comments Warning 36. Top Terminal Limit Switch(required) Pass Repair ANSI N/A Warning Comments Warning 37. Top Final Limit Switch(required) Pass Repair ANSI N/A Warning Comments Warning 38. Drive Unit Weather Protection(required) Pass Repair ANSI N/A Warning Comments Warning 39. Machine Room Receptacle & Light(required) Pass Repair ANSI N/A Warning Comments Warning 40. Machine Guarding(required) Pass Repair ANSI N/A Warning Comments Warning 41. Machine Flooring(required) Pass Repair ANSI N/A Warning Comments Warning 42. Access to Drive(required) Pass Repair ANSI N/A Warning Comments Warning 43. Access to Drive Platform(required) Pass Repair ANSI N/A Warning Comments Warning 44. Car Clearance(required) Pass Repair ANSI N/A Warning Comments Warning 45. Counterweight Clearance(required) Pass Repair ANSI N/A Warning Comments Warning 46. Drive Unit Disconnect(required) Pass Repair ANSI N/A Warning Comments Warning 47. Unintended Car Movement Device(required) Pass Repair ANSI N/A Warning Comments Warning 48. Ascending Car Overspeed Device(required) Pass Repair ANSI N/A Warning Comments Warning 49. Projections in Hoistway(required) Pass Repair ANSI N/A Warning Comments Warning 50. Recesses in Hoistway (required) Pass Repair ANSI N/A Warning Comments Warning 51. Hoistway Lighting(required) Pass Repair ANSI N/A Warning Comments Warning 52. Emergency Ladder(required) Pass Repair ANSI N/A Warning Comments Warning 53. Emergency Platforms(required) Pass Repair ANSI N/A Warning Comments Warning 54. Drive Unit Condition(required) Pass Repair ANSI N/A Warning Comments Warning 55. Drive Unit Oil Level(required) Pass Repair ANSI N/A Warning Comments Warning 56. Drive Unit Bearing Condition(required) Pass Repair ANSI N/A Warning Comments Warning 57. Governor Condition(required) Pass Repair ANSI N/A Warning Comments Warning 58. Governor Limit Switch Condition(required) Pass Repair ANSI N/A Warning Comments Warning 59. Traction Sheaves(required) Pass Repair ANSI N/A Warning Comments Warning 60. Deflector Sheaves(required) Pass Repair ANSI N/A Warning Comments Warning 61. Hoist Cable Condition(required) Pass Repair ANSI N/A Warning Comments Warning 62. Electrical Control Panel(required) Pass Repair ANSI N/A Warning Comments Warning 63. Trail Cord Electrical Condition(required) Pass Repair ANSI N/A Warning Comments Warning 64. Landing Door Unlock Device(required) Pass Repair ANSI N/A Warning Comments Warning Warning. Submit Δ
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