Forms

School Lifting Equipment Commissioning and Assembly Examination Record

Record the pre-use examination of lifting equipment that is newly acquired, assembled, installed or relocated, including its identity, location, assembly or installation details, competent person, examination result, defects and authorisation or refusal to use.

Form
CalmComplianceForm template

School Lifting Equipment Commissioning and Assembly Examination Record

Version
v1
Updated
1 October 2026
Audience
Primary and secondary schools in England, including maintained schools and academies, when lifting equipment is newly acquired, assembled, installed or relocated and its safety depends on assembly or installation conditions. This form is not intended for independent schools.
Jurisdiction
england

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Applicability and examination details

Complete this record where lifting equipment is newly acquired, assembled, installed or relocated and its safety depends on assembly or installation conditions. Where equipment requires assembly or installation before use, examination should take place after assembly or installation and before use at each location.

Reason this record is being completed

Required

Select all circumstances that apply.

Choose all that apply

  • Newly acquired equipment
  • Assembled on site
  • Installed before use
  • Relocated to a different location
  • Other circumstance requiring examination before use

School name

Required

Enter the name of the school responsible for the equipment.

School name

School site or campus

Required

Enter the site or campus where the equipment is located.

Site or campus

Type and description of lifting equipment

Required

Include the equipment type, model or description sufficient to identify it.

Equipment type, model or description

Equipment identification number

Required

Enter the serial number, asset number or another unique identifier. If none exists, state that no identifier is available.

Serial number or asset number

Exact location of equipment

Required

Record the building, room, area or other location where the equipment will be used.

Building, room or area

Assembly, installation or relocation details

Required

Describe what was assembled, installed or relocated, including relevant interfaces, supports, anchorage, configuration or site conditions on which safe operation depends.

Describe the assembly, installation or relocation work

Date assembly, installation or relocation was completed

Required

Enter the date on which the relevant work was completed at this location.

Day
Month
Year

Date of examination

Required

The examination must be completed after assembly or installation and before use where those conditions apply.

Day
Month
Year

Competent person who carried out the examination

Required

Enter the competent person's full name.

Full name

Competent person's organisation or role

Required

Enter the organisation, employer or role under which the examination was carried out.

Organisation or role

Scope and findings of examination

Required

Record the checks made and the findings relevant to correct and safe assembly, installation or relocation at this location.

Scope of examination and findings

Correct and safe assembly or installation confirmed

Required

Tick only if the competent person confirms that the assembly or installation was correct and safe for use at this location.

  • Tick when complete

Examination result

Required

Select the result recorded by the competent person.

Choose one

  • Safe to use
  • Safe to use subject to recorded controls or restrictions
  • Defects or deficiencies require action before use
  • Not safe to use

Defects, deficiencies, restrictions or required actions

Required

Record all defects or deficiencies identified, any restrictions or conditions of use, the required corrective action and who is responsible. If none were identified, enter “None identified”.

Defects, restrictions and required actions

Use decision following examination

Required

Record whether use is permitted, permitted only with stated controls or restrictions, or refused pending action.

Choose one

  • Authorised for use
  • Authorised for restricted use subject to recorded controls
  • Use refused pending corrective action
  • Further examination required before a use decision

Date of use decision

Required

Enter the date on which the use decision was recorded.

Day
Month
Year

School representative recording the use decision

Required

Enter the name and role of the person recording the school's decision. This does not replace the competent person's examination.

Name and role

Follow-up actions and completion arrangements

Required

Record action owners, target dates and how completion or re-examination will be confirmed. If no follow-up is required, enter “None required”.

Follow-up actions and arrangements

Record reviewed for completeness

Required

Tick only when the equipment identity, location, examination findings, result, defects or restrictions and use decision have been recorded.

  • Tick when complete

Additional notes

Add any other information relevant to this examination record.

Additional notes

CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
1 October 2026

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