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DEPARTMENT OF
LABOR AND INDUSTRYConstruction Codes and Licensing/Elevator Inspections
443 Lafayette Road North
St. Paul, MN 551554341
Phone: 6512845071
Email: DLI. Elevator. Etrakit@State.MN.email
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How to fill out elevator incident reporting form

How to fill out elevator incident reporting form
01
Start by obtaining an official elevator incident reporting form. This can typically be obtained from the building management or the elevator maintenance company.
02
Fill in the date and time of the incident in the designated fields.
03
Provide your personal information, including your name, contact number, and email address.
04
Specify the location of the elevator where the incident occurred, including the building name and floor number.
05
Describe the nature of the incident in detail. Include any relevant information such as sudden stops, strange noises, or malfunctioning buttons.
06
If there were any witnesses to the incident, provide their names and contact details.
07
If the incident resulted in any injuries, specify the details of the injuries sustained by individuals involved.
08
If there was any property damage, describe the extent of the damage and provide any relevant details.
09
Attach any supporting documents or photographs, if applicable.
10
Finally, review the form for accuracy and completeness before submitting it to the appropriate authority or department responsible for handling elevator incidents.
Who needs elevator incident reporting form?
01
Anyone who has encountered or witnessed an elevator incident needs an elevator incident reporting form. This can include building residents, employees, students, visitors, or any individual involved in or aware of an elevator-related incident.
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What is elevator incident reporting form?
Elevator incident reporting form is a document used to report any accidents or malfunctions that occur in an elevator.
Who is required to file elevator incident reporting form?
Building owners, property managers, or elevator maintenance companies are usually required to file elevator incident reporting forms.
How to fill out elevator incident reporting form?
The form is typically filled out by providing details of the incident, including date, time, location, and description of what happened.
What is the purpose of elevator incident reporting form?
The purpose of the form is to document and report any incidents involving elevators to ensure safety and accountability.
What information must be reported on elevator incident reporting form?
Information such as date, time, location, description of incident, any injuries, and actions taken must be reported on the form.
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