ELEVATOR ENTRAPMENT EMERGENCY RESPONSE PLAN

A documented emergency response plan for elevator entrapments is not optional. It is a building management responsibility referenced in ASME A17.4 (Guide for Emergency Personnel) and required by many state elevator safety codes. Fill in your building details below to generate a customized plan you can print, distribute to staff, and post in your building management office.

ASME A17.4 Reference: This plan template follows the operational guidelines established in ASME A17.4, Guide for Emergency Personnel, which defines procedures for rescuing passengers from stalled elevators. A17.4 is the companion document to ASME A17.1, the Safety Code for Elevators and Escalators. Your elevator maintenance company and local fire department should both be trained to A17.4 standards. This template does not replace professional training but provides the administrative framework your building staff needs to coordinate an effective response.

BUILDING INFORMATION

Building Name

Street Address

City

State

ZIP Code

Number of Elevators

ELEVATOR EQUIPMENT

Elevator Manufacturer

Model / Year Installed

Intercom/Emergency Phone Type

EMERGENCY CONTACTS

Elevator Maintenance Company

Maintenance 24-Hour Phone

Contract / Account Number

Fire Department Phone

Nearest Fire Station

Building Manager Name

Manager Phone

Manager Email

Security Company (if applicable)

Security Phone

STATE REPORTING

State Reporting Agency

Agency Phone

Reporting Deadline (hours)

PLAN ADMINISTRATION

Plan Prepared By

Date Prepared

Next Review Date

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