Inspection

Inspection Details

Equipment ID
5602

Inspection Date
8/28/2019

Inspection Type
Annual Inspection

Inspector Name
Michael Ledden

Mechanic Name
Dustin Arnett

Relief Valve Pressure
380

Slide

Governor Rope Pull

Door Closing Force
23

External ID
df5c58b0-8a7f-4060-99a8-95c9aab5067e

St. Charles Health Care
2840 W CLAY ST, SAINT CHARLES, MO
Phone: (636) 946-6100

Attn: Benchmark Health Care
Benchmark Health Care
2840 W CLAY ST, SAINT CHARLES, MO 63301
Phone: (636) 946-6100
Email: bom105@reachltc.com

Same as Owner

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	(1) Minimum Standard	x	x	The victaulic seal has failed. Unit Red Tagged and placed out of service for repairs.	8/30/2019
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.4 Maintenance records			A code compliant MCP and all the on-site documentation required by A17.1 2016 - 8.6.1.2.2 and 8.6.1.4 shall be provided in the machine room. (This item is for notification purposes for future violation in 2022)	10/20/2023
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.2.2(d) On-Site Documentation (Written Procedures for Evacuation and Cleaning)			Written evacuation procedures for elevators by authorized persons and emergency personnel shall be available on-site.	10/20/2023

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