MONTHLY FIRE FIGHTERS
SERVICE TEST LOG

Compliments of

TEXAS DEPARTMENT OF LICENSING AND REGULATION

CODE REVIEW AND INSPECTIONS

P.O. BOX 12157

AUSTIN, TEXAS 78711

1-800-803-9202 / (512) 463-7231

Monthly Fire Fighters Service Test Log

A.S.M.E. / A17.1 VIOLATION

All elevators provided with firefighter's service shall be subjected monthly to Phase I recall
and a minimum of one floor operation of Phase II and a written record shall be kept on thepremises. (1986)

A17.1 - Rule 1206.7

BUILDING NAME_______________________________________

BUILDING ADDRESS____________________________________

BUILDING MANAGER'S NAME___________________________

PHONE NUMBER________________________________________

NOTE

THE FIRE FIGHTERS SERVICE TEST LOG SHALL BE LOCATED IN THE ELEVATOR

MACHINE ROOM READILY ACCESSIIBLE TO ALL AUTHORIZED PERSONNEL.

2004

Date Test

Elevator

Inspectors

Comments

Completed

Number(s)

Name/Title

_____________________________________________________________________________________________

JANUARY
______________________________________________________________________________

FEBRUARY
______________________________________________________________________________

MARCH
______________________________________________________________________________

APRIL
______________________________________________________________________________

MAY
______________________________________________________________________________

JUNE
______________________________________________________________________________

JULY
______________________________________________________________________________

AUGUST
______________________________________________________________________________

SEPTEMBER
______________________________________________________________________________

OCTOBER
______________________________________________________________________________

NOVEMBER
______________________________________________________________________________

DECEMBER
______________________________________________________________________________

* INDICATES DATE OF CURRENT ANNUAL TEST OF ELEVATOR(S)

** INDICATES DATE NEXT ANNUAL TEST OF ELEVATOR(S) IS DUE

2005

Date Test

Elevator

Inspectors

Comments

Completed

Number(s)

Name/Title

____________________________________________________________________________________________

JANUARY
______________________________________________________________________________

FEBRUARY
______________________________________________________________________________

MARCH
______________________________________________________________________________

APRIL
______________________________________________________________________________

MAY
______________________________________________________________________________

JUNE
______________________________________________________________________________

JULY
______________________________________________________________________________

AUGUST
______________________________________________________________________________

SEPTEMBER
______________________________________________________________________________

OCTOBER
______________________________________________________________________________

NOVEMBER
______________________________________________________________________________

DECEMBER
______________________________________________________________________________

* INDICATES DATE OF CURRENT ANNUAL TEST OF ELEVATOR(S)

** INDICATES DATE NEXT ANNUAL TEST OF ELEVATOR(S) IS DUE

2006

Date Test

Elevator

Inspectors

Comments

Completed

Number(s)

Name/Title

_____________________________________________________________________________________________

JANUARY
______________________________________________________________________________

FEBRUARY
______________________________________________________________________________

MARCH
______________________________________________________________________________

APRIL
______________________________________________________________________________

MAY
______________________________________________________________________________

JUNE
______________________________________________________________________________

JULY
______________________________________________________________________________

AUGUST
______________________________________________________________________________

SEPTEMBER
______________________________________________________________________________

OCTOBER
______________________________________________________________________________

NOVEMBER
______________________________________________________________________________

DECEMBER
______________________________________________________________________________

* INDICATES DATE OF CURRENT ANNUAL TEST OF ELEVATOR(S)

** INDICATES DATE NEXT ANNUAL TEST OF ELEVATOR(S) IS DUE

2007

Date Test

Elevator

Inspectors

Comments

Completed

Number(s)

Name/Title

_____________________________________________________________________________________________

JANUARY
______________________________________________________________________________

FEBRUARY
______________________________________________________________________________

MARCH
______________________________________________________________________________

APRIL
______________________________________________________________________________

MAY
______________________________________________________________________________

JUNE
______________________________________________________________________________

JULY
______________________________________________________________________________

AUGUST
______________________________________________________________________________

SEPTEMBER
______________________________________________________________________________

OCTOBER
______________________________________________________________________________

NOVEMBER
______________________________________________________________________________

DECEMBER
______________________________________________________________________________

* INDICATES DATE OF CURRENT ANNUAL TEST OF ELEVATOR(S)

** INDICATES DATE NEXT ANNUAL TEST OF ELEVATOR(S) IS DUE

2008

Date Test

Elevator

Inspectors

Comments

Completed

Number(s)

Name/Title

_____________________________________________________________________________________________

JANUARY
______________________________________________________________________________

FEBRUARY
______________________________________________________________________________

MARCH
______________________________________________________________________________

APRIL
______________________________________________________________________________

MAY
______________________________________________________________________________

JUNE
______________________________________________________________________________

JULY
______________________________________________________________________________

AUGUST
______________________________________________________________________________

SEPTEMBER
______________________________________________________________________________

OCTOBER
______________________________________________________________________________

NOVEMBER
______________________________________________________________________________

DECEMBER
______________________________________________________________________________

* INDICATES DATE OF CURRENT ANNUAL TEST OF ELEVATOR(S)

** INDICATES DATE NEXT ANNUAL TEST OF ELEVATOR(S) IS DUE