Prepared by: [Your Name]
Company: [Your Company Name]
Date: [Date]
Elevator Model: Otis Gen2®
Location: Main Office Building, 5th Floor
Maintenance Date: October 25, 2050
Technician Name: Jacklyn Lockman
Exterior Condition: No visible dents or scratches; surface in good condition.
Door Operation: Doors open and close smoothly without obstruction.
Control Panel: All buttons are functional; no sticking noted.
Indicator Lights: All lights are operational; no outages.
Emergency Alarm: Tested and functional; alarm sounds loud and clear.
Communication System: Intercom works properly; clear connection established.
Fire Service Mode: Successfully activated and deactivated without issues.
Safety Edges: Responds correctly to obstructions; in good condition.
Cables and Pulleys: No fraying or corrosion; properly lubricated.
Elevator Motor: Operating quietly; lubrication levels adequate.
Brakes: Functioning correctly; no wear visible.
Guide Rails: Aligned properly; lubrication adequate.
Wiring: No fraying or loose connections; in good condition.
Control Circuit: All components operational; no errors reported.
Backup Power Supply: Functional; tested under load with no issues.
Fuse/Breaker Check: All fuses intact; breakers functioning properly.
Load Test: Load test completed at 1,500 lbs; operating within specs.
Emergency Brake Test: Emergency brake engaged and functioned as expected.
Leveling Accuracy: Levels correctly at all floors; no discrepancies.
Travel Speed Test: Operating at designated speed of 100 feet per minute.
Findings: All systems functioning within normal parameters; no immediate repairs required.
Required Repairs: None noted at this time.
Recommendations: Continue routine maintenance every 3 months.
Next Scheduled Maintenance Date: January 25, 2051.
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