Inspection

Inspection Details

Equipment ID
22987

Inspection Date
4/2/2021

Inspection Type
Annual Inspection

Inspector Name
F. Scott Gibson

Mechanic Name
George Riche

Relief Valve Pressure
319

Slide

Governor Rope Pull

Door Closing Force
18

External ID
aef585df-000d-4cb0-a6a3-d708bfc146fb

Jefferson Medical Plaza
1502 N JEFFERSON ST, CARROLLTON, MO
Phone: (660) 542-1695

Attn: Victor Ray
Carroll County Memorial Hospital
1502 N Jefferson St, Carrollton, MO 64633
Phone: (000) 000-0000
Email: victorr@ccmhospital.org

Same as Owner

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	2.7 - Fire Extinguisher	8.6.1.6.5			a Class ABC Fire Extinguisher shall be provided at MRL Control Space @ Level 1.	5/21/2021
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		Telephone Provider to the Hospital changes systems & the Emergency Telephones were overlooked. Owner is working to clear the issue. Alarm Bells are working in all cars.	4/20/2023

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