Inspection

Inspection Details

Equipment ID
4960

Inspection Date
5/12/2023

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Derek Dixon

Relief Valve Pressure
330

Slide

Governor Rope Pull

Door Closing Force
18

External ID
1608cb50-8de0-46df-a7c0-5fce4c6891c2

Nevada Medical Clinic
900 S Adams St, Nevada, MO
Phone: (417) 667-6015

Attn: Sheryl Torres
Nevada Medical Clinic
900 S Adams St, Nevada, MO 64772
Phone: (417) 667-6015
Email: STorres@nevadamedicalclinic.com

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
MO Minimum : Elevators	(O) - Existing Hydraulic Elevators	(O)4		8.6.12.3.7.2 jack seal needs replaced	9/4/2018
MO Minimum : Elevators	(I) - Pits	(I)1		water,oil debree in pit pit needs to be cleaned	9/4/2018
MO Minimum : Elevators	(I) - Pits	(I)1		pit needs to be clean of oil and debree	8/27/2020
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.5.5.2 Oil Leakage Collection		Oil collection reservoir needs to be added in pit. Currently, oil leakage flows to sump.	8/10/2021
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.5.5.2 Oil Leakage Collection		Oil collection reservoir needs to be added in pit. Currently, oil leakage flows to sump.	9/3/2021
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.5.5.2 Oil Leakage Collection		G/8.6.5.5.2 An oil collection reservoir needs to be repaired/replaced.	6/12/2023
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - 8.6.4.13 - Door systems	x	G(1)/8.6.4.13/ : Electric Eye not working	1/11/2023
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Must post current state operating Cert. 5.100(2)	7/31/2023

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