Inspection

Inspection Details

Equipment ID
10177

Inspection Date
11/4/2020

Inspection Type
Annual Inspection

Inspector Name
Cynthia "CJ" Brady

Mechanic Name
Jeff Setchfield

Relief Valve Pressure
210/420

Slide

Governor Rope Pull

Door Closing Force
20

External ID
de7c4f22-6985-45a7-a2be-456e7c8ea47c

Location

Hidden Lake Care Center
11750 HIDDEN LAKE DR, SAINT LOUIS, MO
Phone: (314) 355-5153

Owner

Attn: Hidden Lake Care Center
Hidden Lake Care Center
11750 HIDDEN LAKE DR, SAINT LOUIS, MO 63138
Phone: (000) 000-0000
Email: modea@estatesofhiddenlake.com

Billing

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Display current state operating certificate.	11/21/2018
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - Car Emergency Systems - 8.6.4.15 (bell, phone & Emergency lighting)	x	The in car emergency telephone shall be operational with 24/7 support.	11/4/2020
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Display a copy of the current state operating certificate.
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)3		The car top emergency exit shall be properly secured to prevent falling.
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	(3) Testing Procedures (Re-Inspect)	x	There appears to be a recently installed sprinkler head in the machine room, if this sprinkler head was not existing prior to July 1st, 1999, provide a heat detector within 24" of sprinkler head, provide a shunt trip type breaker located in the machine room, and provide 110v monitoring of shunt trip.	11/4/2020
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing		This elevator is equipped with an over speed valve that in not sealed. A category 5 test shall be performed on the over speed valve in 2021 or 2022. The valve shall be sealed and tagged after the category 5 test.
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)
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		A current MO State operating certificate shall be posted in the elevator equipment room, in a noncombustible frame with a clear protective vision plate over it.
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.2.2(d) On-Site Documentation (Written Procedures for Evacuation and Cleaning)		Evacuation procedures for elevators by authorized persons and emergency personnel shall be available on-site.
MO Minimum : Elevators	(S) - Fire Service	8.6.11.1 Monthly Test and Log		A record of findings for firefighters' service operation required by 8.6.11.1 with identification of the person(s) that performed the operation shall be kept on site.
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing (Re-Inspect)	x	The overspeed valve is not sealed and has been previously cited in the past that category 5 testing is due. A category 5 test shall be performed within 90 days.	3/15/2024
MO Minimum : Elevators	(H) - Machine Rooms	(H)5 (Machine Room Lighting)		The machine room lights shall be guarded.
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	(3) Testing Procedures (Re-Inspect)	x	Elevators that are equipped to operate on emergency power shall be tested with no load in the car while operating on the emergency generator.	3/15/2024
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.5 Code Data Plate		The code data plate required by A17.1 2016 8.9 shall be provided in plain view, securely attached to each main line disconnect or controller.
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.4.1(a) On-Site Maintenance Records (MCP Records)		The data on the MCP shall be filled out as required by A17.1 2016 8.6.1.4.1(a)(3).
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)3	x	The car-top emergency exit shall be secured to prevent it from falling down the hoistway. (2nd Notice) Re-inspection required.	3/15/2024
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)3		Top of car emergency exit is secured, but shall have a chain or means to keep from falling down hoistway if removed.

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