Inspection

Inspection Details

Equipment ID
8125

Inspection Date
3/29/2023

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Ryan Bollinger

Relief Valve Pressure
430

Slide

Governor Rope Pull

Door Closing Force
F=21/R=20

External ID
ef184dd4-4ccd-48b0-af60-63b48157fca4

Nevada Regional Medical Center
800 S Ash St, Nevada, MO
Phone: (417) 667-3355

Attn: Chad Boswell
Nevada Regional Medical Center
800 S Ash St, Nevada, MO 64772
Phone: (417) 448-3740
Email: cboswell@nrmchealth.com

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
conversion	conversion	n/a		door restrictor front and rear needs to be adjusted or repaired	2/21/2020
conversion	conversion	n/a		needs record of oil usage	2/21/2020
conversion	conversion	n/a		Jack needs to be repacked (New seal)	2/21/2020
conversion	conversion	n/a		needs maintance record on site	2/21/2020
conversion	conversion	n/a		Pit needs to be dry and cleaned up	2/21/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.18 - Restricted opening of car or hoistway doors	2.12.5 Restricted Opening of Hoistway or Car Doors (Re-Inspection)	x	front restrictor needs repair	2/21/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.10 - Power opening of doors or gates	8.11.2.1.1(j)		Door open button does not work	2/21/2020
A17.1-2016 : Elevators	2.5 - Housekeeping	8.11.2.1.2(h)		Clean Machine room	1/11/2024
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4 Instructions for Locating Maintenance Records		No records	1/11/2024
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Must post current State operating Cert. in Mach room.	1/23/2024
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	8.6.4.15 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Must make Emergency Phone Operable. 8.6.4.15

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