Inspection

Inspection Details

Equipment ID
8608

Inspection Date
5/17/2021

Inspection Type
Annual Inspection

Inspector Name
David Folkert

Mechanic Name
Donald Brown

Relief Valve Pressure
500

Slide

Governor Rope Pull

Door Closing Force
27

External ID
8b2dae3c-b12d-41e4-89fd-2b5a9f975f01

La Verna Village
904 S HALL AVE, SAVANNAH, MO
Phone: (816) 324-4097

Attn: Katie Johnson
La Verna Village
904 S Hall Ave, Savannah, MO 64485
Phone: (816) 324-3185
Fax: (816) 324-4097
Email: kjohnson@jmsseniorliving.com

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - Door Systems 8.6.4.13 (Re-Inspection)	x	Car door reopening device is connected to car lighting circuit. Car lighting shall be a dedicated circuit.	5/17/2021
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Post current state operating certificate inside machine room.	5/27/2021
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - Door Systems 8.6.4.13 (Re-Inspection)	x	Car door reopening device is connected to car lighting circuit. Car lighting circuit shall be a dedicated circuit.	5/27/2021
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Post current state operating certificate in machine room when issued.	5/27/2021
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Post current state operating certificate inside the machine room	8/24/2023

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