Inspection

Inspection Details

Equipment ID
21597

Inspection Date
3/2/2021

Inspection Type
Annual Inspection

Inspector Name
Michael Bailey

Mechanic Name
Nick Huzar

Relief Valve Pressure
605

Slide

Governor Rope Pull

Door Closing Force
20

External ID
b2f75041-5ebd-46c4-907e-11199a31c965

Park Place
2000 BOARDWALK PLACE DR, O FALLON, MO
Phone: (636) 625-2906

Attn: CHP O'Fallon LLC
CHP O'Fallon LLC
2002 BOARDWALK PLACE DR, O FALLON, MO 63368
Phone: (000) 000-0000
Email: tmacnutt@seniorlifestle.com

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
conversion	conversion	n/a		Elevator Pit needs to be clean and dry	5/27/2020
conversion	conversion	conversion - reinspect	x	Alarm Bell shall work	3/14/2019
conversion	conversion	n/a		Both Hydraulic cylinder need repacking	5/27/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	5.1 - n/a	n/a		Remove oil from pit.	5/27/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	5.11 - Plunger and Cylinder	3.18		Cylinders are leaking oil. Packing needs to be replaced. REINSPECTION REQUIRED.	5/27/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	5.1 - Pit access, lighting, stop switch, and condition	8.6.4.7 Cleaning of Pits		Clean pit to remove debris, water and/or oil and address sources. Oil dry is all over pit	7/1/2022
MO Minimum : Elevators	(H) - Machine Rooms	(H)4		Articles or materials not necessary for the maintenance or operation of the elevator shall not be stored in machinery spaces, machine rooms, control spaces, and control rooms. Remove used oil and used oil drying compound.	1/10/2023
A17.1-2016 : Elevators	5.11 - Plunger and Cylinder	8.6.5.5		A Packing on right side piston is leaking oil. Identify and correct the cause of excessive oil leakage.	1/10/2023
MO Minimum : Elevators	(I) - Pits	(I)1		Remove oil/oily pads on the pit floor and sump hole. All pits shall be kept dry, clean, and free of equipment or material not relating to the operation of the elevator.	1/1/2024

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