Inspection

Inspection Details

Equipment ID
22674

Inspection Date
5/30/2025

Inspection Type
5 Year Annual Inspection

Inspector Name
Leland Jones

Mechanic Name
Jeremiah Dugger

Relief Valve Pressure
NA

Slide
0-1

Governor Rope Pull
300/250

Door Closing Force
20

External ID
5e233b85-26b9-414b-8b95-0f122b2adc06

Location

Bolivar Technical College
1135 N Oakland Ave, Bolivar, MO
Phone: (417) 328-7884
Email: justin.bryant@citizensmemorial.com

Owner

Attn: Justin Bryant
Citizens Memorial Health Care Foundation
1500 N Oakland Ave, Bolivar, MO 65613
Phone: (417) 328-7884
Email: justin.bryant@citizensmemorial.com

Billing

Attn: Jennifer Long
Citizens Memorial Health Care Foundation
1500 N Oakland Ave, Bolivar, MO 65613
Phone: (417) 328-6409
Email: jennifer.long@citizensmemorial.com

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
A17.1-2016 : Elevators	4.5 - Access to Hoistway	8.11.2.1.4(e)		Must make in car Hoistway access key Switch operable. 8.11.2.1.1(C)	8/23/2023
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.2.1(a)		Must provide and Maintain on site Written MCP. 8.6.1.2.1	8/23/2023
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.2.2 On-Site Documentation		Must provide and Maintain all required MCP Logs and doc. 8.6.1.2.2	8/23/2023
A17.1-2016 : 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. 1.6	9/13/2023
A17.1-2016 : Elevators	4.5 - Access to Hoistway	8.6.4.14 Hoistway Access Switches		Must make Hoistway Access Hall key Switch operable. 8.6.4.14	8/23/2023
A17.1-2016 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Must post current State operating Cert. 5.100(2)	8/23/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	2.27.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	MUST MAKE PHONE OPERABLE

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