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Occupational Health and Safety Act, 1993 (Act No. 85 of 1993)

Regulations

Lift, Escalator and Passenger Conveyor Regulations, 2010

Annexure 1 : Notification of installation of a lift/escalator/passenger conveyor

 

TO: The Provincial Executive Manager

Department of Labour

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I/We ................................................................................................................................

 

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Hereby give notice of my/our intention to install a lift/escalator/passenger conveyor (Insert the official, name and address of company or person (legal person) giving notice of the installation. Use a separate form for each installation)

 

1. Name of building ................................................................................................

 

2. Address of building (physical)... .. .......................................................................

 

3. Lift type ..............................................................................................................

 

4. Name of manufacture .........................................................................................

 

5. Country of origin ................................................................................................

 

6. Design standard .................................................................................................

 

7. Manufacture's serial number .............................................................................

 

8. Year of manufacture...........................................................................................

 

9. Register person .................................................................................................

 

10. Location of lift (machinery) ...............................................................................

 

11. Year of installation ............................................................................................

 

12. Inclination angle (Esc) .......................................................................................

 

13. Balustrades width (Esc) .....................................................................................

 

14. Flight length (Esc) .............................................................................................

 

15. Maximum number of persons ...........................................................................

 

16. Rated load in kg ................................................................................................

 

17. Number of landings ..........................................................................................

 

18. Total travel distance .........................................................................................

 

19. Rated speed .....................................................................................................

 

 

................................................... .............................
Signature of owner/user Date

 

(*Delete whichever is not applicable)

 

 

FOR OFFICIAL USE ONLY

 

Date received .............................................................................

 

Official number allocated................................ Date ...................

 

Inspector...................................... Office ...................................