Third Party Qualified Elevator Inspector (QEI) Information and Forms - Elevator and Escalator Safety
Third Party (QEI) Information
Third Party (QEI) Forms
- Application for Registration of Third Party QEI (Word)
Use this form if you are an inspector wishing to apply or re-register to be a Third Party Qualified Elevator Inspector. Also included are the Requirements and Policy of the Safety Inspection Unit regarding registration of 3rd Party Elevator Inspectors. When submitting the application or re-registering please mail the required documents to the Division of Labor & Industry P.O. Box 37302 Baltimore, Maryland 21297. - Third Party Periodic Inspection and Test Report (Word)
This is the report form used by Third Party Qualified Elevator Inspectors when conducting a Periodic Inspection. - LULA-type lifts installed before 3/24/1997 Notice (Word)
This link provides a scan of information pertaining to Limited Use/Limited Application lifts that were installed prior to 3/24/1997. - Inspection Violation Form (Word)
This is the Violation Notice to be used by Third Party Qualified Elevator Inspectors when conducting an inspection where violations are identified. - Inspection Notification Form (Word)
- Electric/Traction Safety Inspection Form (Word)
This form is to be completed during Cat 1 and Cat 5 periodic inspections and reinspections of the applicable A17.1 equipment. - Electric/Traction Testing Cat 1 and Cat 5 Form (Word)
This form is to be completed during periodic Cat 1 and Cat 5 safety tests of the applicable A17.1 equipment. - Escalator and Moving Walk Safety Inspection and Test Form (Word)
This form is to be completed during the test and inspection of escalators and moving walks in the A17.1 code. - Hydraulic Elevator Safety Inspection Form (Word)
This form is to be completed during Cat 1 and Cat 5 periodic inspections and re-inspections of the applicable A17.1 equipment. - Hydraulic Elevator Testing Cat 1 and Cat 5 Form (Word)
This form is to be completed during periodic Cat 1 and Cat 5 tests of applicable A17.1 equipment. - Vertical and Incline Lift Safety Inspection and Test Form (Word)
This form is to be completed during the one year test and inspection as well as the five year test and inspection of the applicable A18.1 equipment. - Fire Service Periodic Test Form (Word)
This form is to be completed when testing/witnessing the Fire Alarm Initiating Devices and the stand-by emergency power.
For additional information, contact:
Division of Labor and Industry
Elevator and Escalator Safety
10946 Golden West Drive, Suite 160
Hunt Valley, MD 21031.
410-767-2990
Fax: 410-333-7721
e-mail: SAFE.4U@maryland.gov
Emergency telephone number: 410-767-2350