Inspection

Inspection Details

Equipment ID
14920

Inspection Date
10/2/2023

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Ronald Gist

Relief Valve Pressure
800

Slide
Instantaineous

Governor Rope Pull
N/A

Door Closing Force
11

External ID
c023d6a2-9d0c-459a-8993-0ee0ec762298

Doniphan Ranger Station
4 Confederate Ridge Rd, Doniphan, MO
Phone: (573) 996-2153

Attn: US Forestry Department
US Forestry Department
100 W Capitol St, Ste 11411, Jackson, MS 39269
Phone: (000) 000-0000

Attn: Doniphan Ranger Station
Doniphan Ranger Station
4 Confederate Ridge Rd, Doniphan, MO 63935
Phone: (573) 996-2153
Email: laura.melton@usda.gov

Violations

Code	Item	Section	Reason For Violation	Fixed Date
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4.1(c)(1)	8.6.1.4.1(c)(1) A record of oil usage (8.6.5.7). PROVIDE OIL USAGE LOG BY COUNTRY HOME	7/10/2023
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4.1(c)(2)	8.6.1.4.1(c)(2) A record of findings for firefighters’ service operation required by 8.6.11.1 with identification of the person(s) that performed the operation. PROVIDE FIRE SERVICE TEST LOG. BY COUNTRY HOME	7/10/2023
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4.1(c)(3)	8.6.1.4.1(c)(3) Periodic tests (see 8.6.1.7) shall be documented or recorded in accordance with 8.6.1.7.2. PROVIDE TEST LOG. BY COUNTRY HOME	7/10/2023
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4.2 Callbacks (Trouble Calls) Documentation	8.6.1.4.2 Callbacks (Trouble Calls). A record of callbacks shall be maintained and shall include the description of reported trouble, dates, time, and corrective action(s) taken that are reported by any means to elevator personnel. PROVIDE CALLBACK LOG. BY COUNTRY HOME	7/10/2023

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