Annual Acceptance 5-Year Alteration
Complete all items at time of acceptance, alteration or 5-year tests. Write “N/A” if not applicable. Form will be returned if not
completed. Submit copy of step/skirt performance index computer printout with this report.
150 Des Moines Street
Des Moines, IA 50309-1836
Escalator Test & Inspection Report
ASME A17.1 – Sections 8.10.4 and 8.11.4
Normal travel of direction:
. up down
(1983 or later)
1. ASME A17.1 Section 8, step/skirt performance index
The escalator skirt shall not be cleaned, lubricated or otherwise modified in preparation for testing. The escalator instantaneous
step/skirt performance index measurements (ASME A17.1 Rule 220.127.116.11) shall be recorded at intervals no larger than 150 mm (6 in)
from each side of two distinct steps along the inclined portion of the escalator, where the steps are fully extended. Test steps shall
be separated by a minimum of 8 steps.
2. ASME A17.1 Section 8, clearance between step and skirt (loaded gap installed under ASME A17.1d-2000)
Loaded gap measurements shall be taken at intervals not exceeding 300 mm (12 in) in transition region (ASME A17.1 Rule 18.104.22.168)
and before the steps are fully extended. These measurements shall be made independently on each side of the escalator.
3. ASME A17.1 Section 8, clearance between step and skirt (unloaded gap installed prior to ASME A17.1d-2000)
Unloaded gap measurements shall be taken at several locations through entire travel. Gaps cannot exceed maximums found in
ASME A17.1 Rule 22.214.171.124.
Top comb-step impact device (if provided)
Bottom comb-step impact device (if provided)