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Supplementary Tests - Annex A.9 - Elevator Governor Operated Safety Gear Progressive Type Mobile App

This Mobile Form can be used to report on the Annex A.9 – Governor Operated Safety Gear (Progressive Type) status, as recommended by the Safety Assessment Federation (SAFed) in their 2006 Guidelines. This report is designed to carry out the designated supplementary tests. This mobile application is used to assess the governor operated progressive safety gear system. The app is used to inspect the safety gear system of the lift machine including all parts of the system and the surrounding area. This information is important in determining if the system meets safety standards and functions.

The submitted data can be viewed as a basic PDF file or it can be presented in a format that resembles industry standards.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Supplementary Tests - Annex A.9 - Elevator Governor Operated Safety Gear Progressive Type Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Unique report reference ID

  • Ico dropdown

    Indicate Car or Counterweight

  • Ico textbox

    Safety gear type and/or reference:

  • Ico dropdown

    * Are all linkages and moving parts free of any defects, deterioration or wear that may prevent t...

  • Ico dropdown

    * Are the surfaces of any friction elements free of any abnormal or excessive wear that may preve...

  • Ico dropdown

    * Does the safety gear mechanism move freely and engage the guide rails satisfactorily?

  • Ico multiline

    If No, explain below:

  • Ico statictext

    Dynamic Test Conditions (where appropriate)

  • Ico decimal

    * Load in car?

  • Ico decimal

    * Speed at activation?

  • Ico dropdown

    * Did the safety gear operate and stop the car as required?

  • Ico multiline

    If No, explain below:

  • Ico decimal

    * What was the slide distance of the safety gear?

  • Ico dropdown

    * Does the result of the supplementary test(s) indicate further remedial work is necessary?

  • Ico multiline

    If Yes, state your recommendation(s) for further action required:

  • Ico statictext

    To be completed by the person or corporate body carrying out the supplementary test.

  • Ico textbox

    Name

  • Ico textbox

    Position

  • Ico textbox

    Lift I.

  • Ico signature

    Signature

  • Ico date

    Date

  • ...and More!

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