Inspection

Inspection Details

Equipment ID
14508

Inspection Date
3/18/2021

Inspection Type
Annual Inspection

Inspector Name
Wayne Ingram

Mechanic Name
Ryan Bollinger

Relief Valve Pressure
500

Slide

Governor Rope Pull

Door Closing Force
R-15 F-16

External ID
cc21e7c5-3ba0-477d-b18c-e529e908df32

Nevada Regional Medical Center
800 S ASH ST, NEVADA, MO
Phone: (417) 667-3355

Attn: Chad Boswell
Nevada Regional Medical Center
800 S Ash St, Nevada, MO 64772
Phone: (417) 448-3740
Email: cboswell@nrmchealth.com

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
conversion	conversion	n/a		needs record of oil loss	2/21/2020
conversion	conversion	n/a		front and rear door restrictor needs adjusted or repaired	2/21/2020
conversion	conversion	n/a		needs maintance on site	2/21/2020
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		needs current certificate posted	2/21/2020
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4 Instructions for Locating Maintenance Records		No Records	1/11/2024
A17.1-2016 : Elevators	5.15 - Overspeed Valve	8.6.5.16.5		Must perform Category 5 Test for Overspeed Valve on or before next annual insp. 8.6.16.5	1/23/2024
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Must post current operating cert. in Mach room. 5.100(2)	1/23/2024
A17.1-2016 : Elevators	5.15 - Overspeed Valve	8.6.5.16.5	x	Must Preform Cat 5 Full load test/insp for Overspeed Valve 90 days to correct. 8.6.5.16.5
A17.1-2016 : Elevators	1.6 - Car emergency signal	8.6.4.15 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Must Make Emergency Phone operable. 8.6.4.15

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