Inspection

Inspection Details

Equipment ID
5182

Inspection Date
11/19/2020

Inspection Type
Annual Inspection

Inspector Name
Timothy Trout

Mechanic Name
Christopher Wiseman

Relief Valve Pressure
370

Slide

Governor Rope Pull

Door Closing Force
29

External ID
96c75ab1-6876-4d23-a01f-680b1b902fba

Spring Valley Health Rehabilation
2915 S FREMONT AVE, SPRINGFIELD, MO
Phone: (000) 000-0000

Attn: Michael Gilpin
MGM Health Care
2915 S FREMONT AVE, 2915 S Fremont Ave ,SPRINGFIELD, MO 65804
Phone: (000) 000-0000

Same as Owner

Code	Item	Section	Reason For Violation	Fixed Date
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.6.7 Signs and Data Plates	Replace the missing pictographic signage at both levels.	12/16/2022
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.6.7 Signs and Data Plates	Replace the missing phase l fire instructions.	12/16/2022
MO Minimum : Elevators	(A) - Hoistways	(A)9	Provide a complete set of elevator keys, operating keys and fire service keys, to be kept on sight for elevator personal.	12/16/2022

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