A sample built from fictional records: every company, unit and date below is made up. Your reports carry your own records. Back to Elevators & Lifts

Sample company (fictional) · Elevators & LiftsDraft generated Oct 30, 2026

Safety test report

Aug 20, 2026

Record

CompanySample company (fictional)
TradeElevators & Lifts
TestAug 20, 2026

Unit

Unit IDUN-4137
State registration numberState registration number 2
TypeHydraulic elevator
StateState 2
Last Category 1 testAug 18, 2026
Last Category 5 testAug 18, 2026
Last routine examinationAug 18, 2026
Certificate expiryJun 27, 2027

Test

ScheduledAug 20, 2026
CompletedAug 20, 2026
StatusCompleted

Periodic test

Category 1 no-load safety test completed within 12 monthsPass
Category 5 full-load safety test completed within five yearsFail
Routine examination completed within 12 monthsPass
Maintenance control program records on sitePass
Mechanic or inspector licence recordedPass

Photos

Photos taken on the phone at the job print here, each captioned with what it shows.

Findings

SeverityFindingStatus
Shut down unitCategory 5 full-load safety test completed within five years. Failed at this test.Open

Signature

The signature drawn on the phone at the job prints here.

Next due

Category 1 periodic safety test
Fla. Admin. Code R. 61C-5.013 (https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-61C-5-013), checked 2026-10-28
Aug 18, 2027Set by rule
Routine examination
Fla. Admin. Code R. 61C-5.013 (https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-61C-5-013), checked 2026-10-28
Aug 18, 2027Set by rule
Category 5 periodic safety test
Fla. Admin. Code R. 61C-5.013 (https://www.law.cornell.edu/regulations/florida/Fla-Admin-Code-Ann-R-61C-5-013), checked 2026-10-28
Aug 18, 2031Set by rule