Inspection

Inspection Details

Equipment ID
11375

Inspection Date
3/15/2021

Inspection Type
Annual Inspection

Inspector Name
Vernon Livergood

Mechanic Name

Relief Valve Pressure
390

Slide

Governor Rope Pull

Door Closing Force
00

External ID
761261d2-f2cc-4efd-b0ef-1697b8c2aedd

Riverside Nursing and Rehabilitation Center
4700 NW CLIFF VIEW DR, RIVERSIDE, MO
Phone: (816) 746-1301

Attn: Jennifer Jennings
Riverside Nursing and Rehab
4700 NW CLIFF VIEW DR, RIVERSIDE, MO 64150
Phone: (816) 741-5105
Email: 63rwburgess@tarahc.com

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
MO Minimum : Elevators	(I) - Pits	(I)1		pit has a lot of trash an debris in it needs to be cleaned	8/12/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	3.27 (Hydro) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Alarm bell not working	3/17/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	8.11.2.1.1(f) (Insp code) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Alarm bell not working	3/21/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	5.11 - Plunger and Cylinder	8.6.5.8 Safety Bulkhead	x	Provide evidence of safety bulkhead for underground hydraulic cylinder. If a single bottom jack is present, approved safety devices will be required such as plunger gripper or governor.	3/5/2024

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