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Annual Inspection/Load Testing Report [BCA]

Author: Novade Solutions

Use this template for Annual Inspection or Load Testing

Published on: 9/10/2025

Annual Inspection/Load Testing Report [BCA]

Instructions: S: Satisfactory, NS: Not Satisfactory, NA: Not Applicable

Address/Location:

(Postal Code)

Lift ID/Number:

Type:

Number of stops:

Test Date:

Test Type

Year of Installation/Completion:

Applicable Code/Year:

Rated speed (m/sec):

Rated Load (kg)

Lift Testing Contractor:

Name of Representative:

Designation of Representative:

Date of Submission:

Add Photo / Document

Document.pdf

Sheets.xlsx

Section A

Checks for Annual Testing of Traction Lifts (both Full and/or No-Load Test)

Status = Satisfactory (S); Not Satisfactory (NS); Not Applicable (NA)

MACHINE ROOM/HEAD ROOM

1. Traction motor condition (e.g. coupling condition)

Remarks

2. Drive & traction and deflector sheaves (e.g. groove profile and condition)

Remarks

3. Gearbox (e.g. oil condition and level, excessive backlash, bearings condition)

Remarks

4. Effectiveness of brakes (checks include: free moving plunger, plunger lever movement, brake drum surface contamination, verification of air gap)

Remarks

5. Overspeed governor sheave condition

Remarks

6.1 Overspeed governor tripping mechanism

Remarks

6.2 Overspeed governor overspeed switch function

Remarks

6.3 Flyweights condition (e.g. free/non-restricted movement of flyweights)

Remarks

6.4 All linkages and moving parts in the overspeed governor are free of defects

Remarks

6.5 Overspeed governor gripping jaw function (e.g. jaw is able to effectively grip the rope, pulling force of the governor effectively engages the safety gear)

Remarks

6.6 Safety gear switch function

Remarks

6.7 Safety gear function (e.g. after the safety gear is engaged, the rope should slip as even if the traction machine is running)

Remarks

7. Ascending Car Over speed Protection (ACOP):

7.1 Detection means used

7.2 Stopping means used

Remarks

8. Unintended Car Movement Prevention (UCMP) function

Remarks

9. Terminal speed reduction system function

Remarks

10. Emergency power supply for lighting, ventilation, alarm and intercom systems (e.g. EBOPS, ARES, UPS) function

Remarks

11. Controller and electrical system (e.g. PCB delamination, signs of overheating, function of ELCB)

Remarks

12. Governor rope Ø

12.1 Required (mm)

12.2 Measured(mm)

Remarks

13. Automatic Rescue Device (ARD) function

Remarks

HOIST WAY

14. Door locks and switches (e.g. landing door, emergency access door)

Remarks

15.Suspension rope condition (e.g. excessive broken wires of strands, excessive rouging, excessive rust; according to manufacturer's recommendations)

Remarks

16. Required Ø (mm)

Fill in the measured Ø of each rope (mm) in the table below:

Rope No	Ø (mm)
-	-

Edit Table

Status

Remarks

LIFT CAR AND PIT

17. 25mm car door gap test on the doorway

Remarks

18. Car door mechanical lock function

Remarks

19. 10mm car & landing door gap with door frame

Remarks

20. Door protection devices function

Remarks

21. Counterweight runby signage

Remarks

22.1 Design Counterweight runby

22.2 Measured Car top clearance (mm)

22.3 Measured Counterweight Runby (mm)

Status

Remarks

23. Buffer condition (e.g. proper fixing, oil level, oil leak, aging polyurethane buffer, cracked or corroded spring)

23.1 Buffer type

Remarks

24. All emergency-stop switches (e.g. machine room, hoist way, car top, lift pit)

Remarks

25. Overspeed governor rope tension sheave condition

Remarks

26. Lift pit ladder (e.g. accessibility, condition)

Remarks

27. Lift pit cleanliness

Remarks

28. Ventilation / illumination requirements (e.g. machinery space, car top, lift pit)

Remarks

Section B

Full Load Test of Traction Lifts Only

Status = Satisfactory (S); Not Satisfactory (NS); Not Applicable (NA)

ADDITIONAL CHECKS/TESTS FOR FULL LOAD

Machine room / Head room

29. Emergency brake stopping distance (mm)

Status

Remarks

30. Manual rescue function (electrical / mechanical)

Remarks

31. Load balance point (%)

Status

Remarks

Hoist way

32. Overspeed governor and safety gear function at full load (refer to item 6)

Remarks

Lift Car and Pit

33. Function of over-load weighing device, its alarm and indicator

Remarks

Section C

Any other observations (to be used for both full and/or no load test):

34. Observations

Declaration by supervising SPE:

I, as the supervising SPE, declare that:

(1) I have checked and verified the measurements, observations and information, and I confirm that the measurements, observations and information as stated above are true and accurate as at the date of this submission.

(2) I have witnessed the lift testing contractor carrying out the examination, inspection and testing of the Lift, and I confirm that the lift testing contractor carried out the examination, inspection and testing of the Lift in my presence.

(3) I am of the opinion that the Lift is fit and safe for operation and use.

(4) I am not a partner, associate, director, officer or employee of the owner of the Lift or the lift testing contractor carrying out the examination, inspection and testing of the Lift.

Name of Supervising SPE:

SPE Signature:

Date of Submission:

Download PDF
Save to Novade

Annual Inspection/Load Testing Report [BCA]

Instructions: S: Satisfactory, NS: Not Satisfactory, NA: Not Applicable

Address/Location:

(Postal Code)

Lift ID/Number:

Type:

Number of stops:

Test Date:

Test Type

Year of Installation/Completion:

Applicable Code/Year:

Rated speed (m/sec):

Rated Load (kg)

Lift Testing Contractor:

Name of Representative:

Designation of Representative:

Date of Submission:

Add Photo / Document

Document.pdf

Sheets.xlsx

Section A

Checks for Annual Testing of Traction Lifts (both Full and/or No-Load Test)

Status = Satisfactory (S); Not Satisfactory (NS); Not Applicable (NA)

MACHINE ROOM/HEAD ROOM

1. Traction motor condition (e.g. coupling condition)

Remarks

2. Drive & traction and deflector sheaves (e.g. groove profile and condition)

Remarks

3. Gearbox (e.g. oil condition and level, excessive backlash, bearings condition)

Remarks

4. Effectiveness of brakes (checks include: free moving plunger, plunger lever movement, brake drum surface contamination, verification of air gap)

Remarks

5. Overspeed governor sheave condition

Remarks

6.1 Overspeed governor tripping mechanism

Remarks

6.2 Overspeed governor overspeed switch function

Remarks

6.3 Flyweights condition (e.g. free/non-restricted movement of flyweights)

Remarks

6.4 All linkages and moving parts in the overspeed governor are free of defects

Remarks

6.5 Overspeed governor gripping jaw function (e.g. jaw is able to effectively grip the rope, pulling force of the governor effectively engages the safety gear)

Remarks

6.6 Safety gear switch function

Remarks

6.7 Safety gear function (e.g. after the safety gear is engaged, the rope should slip as even if the traction machine is running)

Remarks

7. Ascending Car Over speed Protection (ACOP):

7.1 Detection means used

7.2 Stopping means used

Remarks

8. Unintended Car Movement Prevention (UCMP) function

Remarks

9. Terminal speed reduction system function

Remarks

10. Emergency power supply for lighting, ventilation, alarm and intercom systems (e.g. EBOPS, ARES, UPS) function

Remarks

11. Controller and electrical system (e.g. PCB delamination, signs of overheating, function of ELCB)

Remarks

12. Governor rope Ø

12.1 Required (mm)

12.2 Measured(mm)

Remarks

13. Automatic Rescue Device (ARD) function

Remarks

HOIST WAY

14. Door locks and switches (e.g. landing door, emergency access door)

Remarks

15.Suspension rope condition (e.g. excessive broken wires of strands, excessive rouging, excessive rust; according to manufacturer's recommendations)

Remarks

16. Required Ø (mm)

Fill in the measured Ø of each rope (mm) in the table below:

Rope No	Ø (mm)
-	-

+ Add New Row

Status

Remarks

LIFT CAR AND PIT

17. 25mm car door gap test on the doorway

Remarks

18. Car door mechanical lock function

Remarks

19. 10mm car & landing door gap with door frame

Remarks

20. Door protection devices function

Remarks

21. Counterweight runby signage

Remarks

22.1 Design Counterweight runby

22.2 Measured Car top clearance (mm)

22.3 Measured Counterweight Runby (mm)

Status

Remarks

23. Buffer condition (e.g. proper fixing, oil level, oil leak, aging polyurethane buffer, cracked or corroded spring)

23.1 Buffer type

Remarks

24. All emergency-stop switches (e.g. machine room, hoist way, car top, lift pit)

Remarks

25. Overspeed governor rope tension sheave condition

Remarks

26. Lift pit ladder (e.g. accessibility, condition)

Remarks

27. Lift pit cleanliness

Remarks

28. Ventilation / illumination requirements (e.g. machinery space, car top, lift pit)

Remarks

Section B

Full Load Test of Traction Lifts Only

Status = Satisfactory (S); Not Satisfactory (NS); Not Applicable (NA)

ADDITIONAL CHECKS/TESTS FOR FULL LOAD

Machine room / Head room

29. Emergency brake stopping distance (mm)

Status

Remarks

30. Manual rescue function (electrical / mechanical)

Remarks

31. Load balance point (%)

Status

Remarks

Hoist way

32. Overspeed governor and safety gear function at full load (refer to item 6)

Remarks

Lift Car and Pit

33. Function of over-load weighing device, its alarm and indicator

Remarks

Section C

Any other observations (to be used for both full and/or no load test):

34. Observations

Declaration by supervising SPE:

I, as the supervising SPE, declare that:

(3) I am of the opinion that the Lift is fit and safe for operation and use.

(4) I am not a partner, associate, director, officer or employee of the owner of the Lift or the lift testing contractor carrying out the examination, inspection and testing of the Lift.

Name of Supervising SPE:

SPE Signature:

Date of Submission:

Use this Annual Inspection/Load Testing Report [BCA] template to ensure lifting equipment is inspected and tested annually in compliance with BCA regulations, helping maintain safety standards and prevent equipment failure on site.