Inspection

Inspection Details

Equipment ID
13800

Inspection Date
6/25/2021

Inspection Type
Annual Inspection

Inspector Name
Ronald Edwards

Mechanic Name
Donald Brown

Relief Valve Pressure
400

Slide

Governor Rope Pull

Door Closing Force
F-20/R-15

External ID
e8acbb4f-c4a5-4b5d-bb6f-9b8cde992fd5

Lee's Summit Medical Office Bldg
2100 SE Blue Pkwy, Lee's Summit, MO
Phone: (816) 282-5086

Attn: Timothy
Lee's Summit Medical Center
2100 SE Blue Pkwy, Lee's Summit, MO 64063
Phone: (000) 000-0000
Email: timothy.mcginnis@hcamidwest.com

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
A17.1-2016 : Elevators	1.17 - Standby power operation	8.6.4.19.7 (Re-Inspection)	x	unable to test emg. power at time of insp.	7/16/2021
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4 Instructions for Locating Maintenance Records		Incomplete MCP on site need testing procedures an valve info	8/2/2021
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4 Instructions for Locating Maintenance Records		Incomplete MCP need testing procedures .valve an door operator Info	8/2/2021
A17.1-2016 : Elevators	5.11 - Plunger and Cylinder	8.10.3.2.5(c)	x	installation of new piston in existing jack acceptance test passed	8/12/2021
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1(a)(3) Battery Backup Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	emg.phone battery needs to be replaced	6/15/2023
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		no current cirt displayed	7/21/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	4.5 - Access to Hoistway	8.6.4.14 Hoistway Access Switches		couldnt test access key sw no key	7/21/2023
MO Minimum : Elevators	(S) - Fire Service	8.11.2.2.6 Firefighters’ Emergency Operation (Re-Inspection)	x	door open button in car station not working	7/20/2023

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