Inspection

Inspection Details

Equipment ID
22096

Inspection Date
6/8/2018

Inspection Type
Annual Inspection

Inspector Name
Wayne Ingram

Mechanic Name

Relief Valve Pressure
540

Slide

Governor Rope Pull

Door Closing Force

External ID

Kerry and Synda Douglas Medical Center
1155 West Parkview Street, Bolivar, MO
Phone: (417) 326-6000

CMH Medical Plaza
1500 N Oakland Ave, Bolivar, MO 65613

Attn: CMH Medical Plaza

1500 N Oakland Ave, , MO 65613

Violations

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.2.1 General Maintenance Requirements Documentation			Must provide MCP	12/7/2021
A17.1-2016 : Elevators	6.4 - Firefighters' service (A17.1b-1989 and later editions)	2.27.3	x	x	Must Make Phase I Fire service Key switch operable. 2.27.3	6/6/2024
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		PHONE MUST BE MADE OPERABLE

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