Get the free Elevator Incident Report - Mass.gov

Commonwealth of Massachusetts Division of Professional Licensure Office of Public Safety and Inspections ELEVATOR INCIDENT REPORT Email to: elevator.supervisor@mass.gov You must report all elevator

How to fill out elevator incident report

How to fill out elevator incident report

1. To fill out an elevator incident report, follow these steps:
2. Start by providing the date and time of the incident.
3. Specify the location where the incident occurred.
4. Describe the nature of the incident, including any damages or injuries involved.
5. Note down the names and contact information of any witnesses present during the incident.
6. If applicable, record the elevator's identification number or other relevant details.
7. Include any additional information or comments that may be relevant to the incident.
8. Sign and date the incident report.
9. Submit the completed report to the relevant authority or department responsible for elevator maintenance and safety.

Who needs elevator incident report?

1. An elevator incident report may be required by various individuals or entities, such as:
2. - Building owners or property managers
3. - Elevator maintenance companies
4. - Occupational safety and health departments
5. - Insurance companies
6. - Legal representatives
7. - Regulatory authorities

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What is elevator incident report?

An elevator incident report is a formal document that details any accidents, malfunctions, or safety issues that occur with an elevator. It is used to document the circumstances of the incident for regulatory purposes and to facilitate investigations.

Who is required to file elevator incident report?

Typically, the elevator owner or authorized elevator maintenance personnel are required to file an elevator incident report when an incident occurs.

How to fill out elevator incident report?

To fill out an elevator incident report, provide detailed information about the incident, including the date and time, location, type of incident, description of events, involved parties, any injuries or damages, and steps taken after the incident.

What is the purpose of elevator incident report?

The purpose of an elevator incident report is to ensure safety by documenting incidents for analysis, addressing the underlying causes, ensuring compliance with safety regulations, and preventing future occurrences.

What information must be reported on elevator incident report?

Information that must be reported includes the date and time of the incident, the location of the elevator, a detailed description of what occurred, any injuries sustained, and the names of individuals involved.