Inspection

Inspection Details

Equipment ID
8126

Inspection Date
3/18/2024

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Bryan Henson

Relief Valve Pressure
440

Slide

Governor Rope Pull

Door Closing Force
F=24/R=23

External ID
30024591-5e93-438f-b052-e4273e543d74

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

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

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	5.1 - Pit access, lighting, stop switch, and condition	2.2.2 Design and Construction of Pits		I-1 Mo-Min pit needs to be cleaned of oil and debree	2/21/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	5.11 - Plunger and Cylinder	3.18		Jack needs to be repacked 8.6.5.5.1 & 8.6.12.3.7.2	2/21/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		needs current certificate [osted	2/21/2020
A17.1-2016 : Elevators	2.5 - Housekeeping	8.11.3.1.2(h)		Clean Machine room of oil soaked rags	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. 5.100(2)	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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