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
|