Inspection

Inspection Details

Equipment ID
3818

Inspection Date
12/10/2019

Inspection Type
5 Year Annual Inspection

Inspector Name
Gerald Glynn

Mechanic Name
Jeffrey VanZant

Relief Valve Pressure

Slide
11"

Governor Rope Pull
150/600

Door Closing Force
16

External ID
b20e6568-9663-4f10-a21a-56969c2f0a00

Air Traffice Control Tower
2365 N FAA AVE, SPRINGFIELD, MO
Phone: (417) 555-5555
Email: Rick.archer@faa.gov

Federal Aviation Administration
5384 W FARM ROAD 116, SPRINGFIELD, MO 65802-6448

Attn: Federal Aviation Administration

2365 N FAA AVE, SPRINGFIELD, MO 65802-7118

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
MO Minimum : Elevators	(S) - Fire Service	(S)1	x		Phase II not working	1/10/2019
MO Minimum : Elevators	(S) - Fire Service	(S)1	x	x	Elevator does not auto-recall after turning Phase 2 switch from ON to OFF. All other functions are proper.	12/8/2020
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)11 Phone or alarm not functioning ( Mandatory Re-Inspection due in 14 days)	x		Emergency alarm shall work with power loss.	12/8/2020
MO Minimum : Elevators	(S) - Fire Service	(S)1	x	x	Elevator does not auto-recall after turning Phase 2 switch from ON to OFF. All other functions are proper.	12/8/2020
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)11 Phone or alarm not functioning ( Mandatory Re-Inspection due in 14 days)	x		Emergency alarm shall work with power loss.	12/8/2020

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