Forms

Lifting equipment examination and defect record

To record lifting-equipment identities, thorough-examination reports, examination dates, defects, notifications to responsible equipment users or owners, and reports to the relevant enforcing authority where required.

Form
CalmComplianceForm template

Lifting equipment examination and defect record

Version
v1
Updated
7 October 2026
Reviewed
7 October 2026
Audience
Primary and secondary schools in England, including maintained schools and academies, that use or control lifting equipment subject to thorough examination.
Jurisdiction
england

Blank fields · read-only preview

Complete this record when the school uses or controls lifting equipment subject to thorough examination and records or communicates examination findings or defects. This record does not replace physical inspection, servicing, maintenance, or the thorough examination itself.

Record details

School name

Required

Enter the name of the school responsible for this record.

Written response

Site or premises location

Required

Enter the site, building, or premises where the equipment is used or controlled.

Written response

Record reference

Required

Enter the school's internal reference for this examination or defect record.

Written response

Equipment identity

Equipment description and type

Required

Describe the lifting equipment, including its type and intended use.

Written response

Equipment identification number, serial number, or asset reference

Required

Enter the identifier that uniquely links this record to the equipment.

Written response

Normal equipment location

Required

State where the equipment is normally kept or used.

Written response

Equipment ownership or control arrangement

Required

Select the arrangement that applies to this equipment.

Choose one

  • Owned or controlled by the school
  • Hired by the school
  • Leased by the school
  • Other arrangement controlled by the school
  • Other

If other, please specify

Person responsible for the equipment

Required

Enter the name and role of the person responsible for the equipment at the school.

Written response

Owner, hirer, or lessor contact

Where the equipment is hired or leased, enter the relevant organisation or person's name and contact details. Otherwise enter the owner or other responsible contact where applicable.

Written response

Thorough examination

Examiner or examining organisation

Required

Enter the name of the person or organisation that carried out the thorough examination.

Written response

Thorough-examination report reference

Required

Enter the report number or other reference that identifies the examination report.

Written response

Date of thorough examination

Required

Enter the date on which the thorough examination was completed.

Day
Month
Year

Examination outcome

Required

Select the outcome recorded by the examiner.

Choose all that apply

  • No defect recorded
  • Defect recorded
  • Equipment reported as not fit for use
  • Further action advised by examiner
  • Other

If other, please specify

Next examination date or examination interval stated in the report

Enter the next date or interval specified by the competent person or examining organisation, if one is stated.

Written response

Summary of examination findings

Required

Summarise the relevant findings from the thorough-examination report.

Written response

Defects and immediate controls

Defect details

Required

If a defect was identified, describe the defect, affected component, apparent risk, and any relevant information from the examination report. If no defect was identified, state that no defect was recorded.

Written response

Equipment use status following the examination

Required

Record the current status decided by the school or responsible person.

Choose all that apply

  • Available for use
  • Use restricted pending action
  • Withdrawn from use
  • Isolated or secured pending action
  • Returned to hirer or lessor
  • Other

If other, please specify

Immediate or planned control actions

Required

Describe actions taken or planned in response to any defect, including who is responsible and any target date.

Written response

Defect notifications and reports

Notifications or reports made

Required

Select each recipient to whom a defect was reported, where applicable. If no defect was identified, select that no defect notification was required.

Choose all that apply

  • No defect notification required because no defect was identified
  • Person using or responsible for the equipment
  • Equipment owner
  • Person or organisation from whom the equipment was hired or leased
  • Relevant enforcing authority
  • Other recipient
  • Other

If other, please specify

Notification or report details

Required

Where a defect was identified, record the recipient, date, method, contact details or reference, and the substance of the notification. For reports to an enforcing authority, record the authority contacted and the report reference if available.

Written response

Date notification or report was made

Enter the date on which the relevant notification or report was made. If multiple notifications were made on different dates, record all dates in the notification details field.

Day
Month
Year

Relevant enforcing authority

If a defect was reported to an enforcing authority, identify the authority. For most non-industrial workplaces this is the local authority; confirm the appropriate authority for the workplace circumstances.

Written response

Record completion confirmation

Required

Confirm that the examination findings and any applicable defect notifications or reports have been entered in this record.

  • Tick when complete

Completed by

Required

Enter the name and role of the person completing this record.

Written response

Date this record was completed

Required

Enter the date on which this record entry was completed.

Day
Month
Year
CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
7 October 2026
Reviewed
7 October 2026

Get this template

Free, editable Word document. We’ll email you a download link. No Calm account needed.

Edit in Word or Google Docs.

We record your email and the template you request. Read our privacy policy.