Inspection

Inspection Details

Equipment ID
3689

Inspection Date
4/12/2019

Inspection Type
Annual Inspection

Inspector Name
Dixon Liljegren

Mechanic Name
David Reding

Relief Valve Pressure
380

Slide

Governor Rope Pull

Door Closing Force
28

External ID
f7ba2ade-6b22-4e56-8190-21a761f822ff

Hyvee
9400 E STATE ROUTE 350, RAYTOWN, MO

Attn: HyVee
HyVee
405 E. Nifong Blvd, Columbia, MO 65201
Phone: (000) 000-0000

Attn: Hyvee, Inc
Hyvee, Inc
5820 WESTOWN PKWY, WEST DES MOINES, IA 50266
Phone: (000) 000-0000
Email: 1076director@hy-vee.com

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.4 - Sills and car floor	8.11.2.1.1(d)		Interior flooring needs securing.	8/18/2020
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		no current cirt displayed	2/16/2024
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	2.27.1.1.1 Means of Communication (Red Tag)		phone not programmed to a place that is anserwed 24-7	4/13/2022
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	line dead	4/1/2025
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	Emergency phone not working, alarm bell ok.
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.5.5.1 Examination and Maintenance		OSV overdue for full load overspeed test.

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