Elevator 5 Year Safety Test Report Page 2

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22. Clearance between the safety jaws and rail
Inches
23. Governor tripped at?
fpm
Is the governor sealed?
Yes
No
24. Overspeed switch trips at
fpm Governor switch trips at
fpm
25. Governor rope pull thru
lbs
Releasing carrier pull out
lbs
26. Safeties tested with
lbs at
fpm
27. Did the car stop level (3/8” per foot DBG maximum?)
Yes
No
28. Length of safety rope pull out
feet
inches
29. Number of turns remaining on drum
30. Safety jaw rail marks (average of 4 marks)
feet
inches
31. Oil buffer test:
Car buffer with
lbs at
fpm
Counterweight buffer with no load
fpm
32. Did plunger return within 90 seconds?
Yes
No
Car
Cwt
33. Were final limits actuated during the buffer test?
Yes
No
Bottom?
Yes
No
34. Did buffer switch actuate?
Yes
No
Did buffers fully compress?
Yes
No
Car
Cwt
35. Was brake tested with 125% of rated load?
Yes
No
36. Did brake hold?
Yes
No
37. Are load weighting switches properly set?
Yes
No
38. Condition after test
39. Have unsatisfactory conditions been corrected? If not, explain
40. Have all test tags been applied?
Governor
Yes
No
Releasing Carrier
Yes
No
Buffers
Yes
No
Date
Signature
Firm performing test
Phone
F621-051-000 elevator five year safety test report 05-2006
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