Inspection

Inspection Details

Equipment ID
3330

Inspection Date
8/16/2021

Inspection Type
Annual Inspection

Inspector Name
David Folkert

Mechanic Name
Dennis Smith

Relief Valve Pressure
Na

Slide
Na

Governor Rope Pull
Na

Door Closing Force
Na

External ID
4872ab45-409c-48d1-9f78-e21705a7023c

Fairfax R-3 Schools
500 E Main St, Fairfax, MO
Phone: (660) 686-2421

Attn: Laurie Yocum
Fairfax R-3 Schools
500 E Main St, Fairfax, MO 64446
Phone: (660) 686-1015
Email: lyocum@fxbulldogs.net

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	2.7 - Fire Extinguisher	8.6.1.6.5		Need to provide type ABC fire extinguisher inside elevator machine room.	10/9/2018
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	3.14 - Hoistway clearances	8.11.2.1.3(t)		Reattach guard to inside of bottom floor hoistway swing door for proper clearance between car and hoistway door	10/9/2018
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - Car Emergency Systems - 8.6.4.15 (bell, phone & Emergency lighting)	x	Emergency phone does not operate	9/9/2019
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.2.1 General Maintenance Requirements Documentation		Provide maintenance control plan	9/22/2022
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.4.1(a) On-Site Maintenance Records (MCP Records)		Provide maintenance records	9/22/2022
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		State operating certificate not displayed in machine room	9/22/2022

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