電梯注冊代碼： 年 月
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1、電梯機房配電箱 |
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2、機房環境衛生 |
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3、機房溫度（5-40） |
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4、控制柜聲音運行情況 |
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5、變頻器風扇運行情況 |
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6、主機運行狀態 |
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7、轎廂（照明、風扇） |
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8、轎廂（平層度） |
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9、轎廂（應急照明） |
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10、對講機系統 |
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11、轎廂按鈕、顯示 |
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12、轎廂警鈴 |
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13、轎廂運行情況 |
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14、開關門運行無情況 |
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15、層門無碰撞 |
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16、層門無滲水 |
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17、消防開關外蓋完善情況 |
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18、底坑清潔無積水 |
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故障記錄 |
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備注：表示正常（√）、表示不正常（×）、表示已調整、維修（○）、表示已通知電梯維修公司（△） 深圳市亞太三洋電梯有限公司
此表格須每日巡查記錄，保存留底以備市場監督管理局及檢驗部門、監管部門查驗 維修電話：宋先生135 3034 6004
注：此表格須持有效電梯安全管理人員證人員填寫
安全管理巡檢人：
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陳先生：13424288681
