Inspection

Inspection Details

Equipment ID
20719

Inspection Date
9/8/2021

Inspection Type
5 Year Annual Inspection

Inspector Name
F. Scott Gibson

Mechanic Name
Joseph Ammons

Relief Valve Pressure
560

Slide

Governor Rope Pull

Door Closing Force
F15 R12

External ID
0e5ef583-b4ac-496b-b32e-09a2e257a2d8

Samaritan Hospital
1205 N MISSOURI ST, MACON, MO
Phone: (660) 385-3151

Attn: Tony Winkler
Samaritan Hospital
1205 N Missouri St, Macon, MO 63552
Phone: (660) 395-8671
Email: twinkler@smhmo.org

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.5 - Car lighting and receptacles	8.11.2.1.1(e) Car Lighting		Emergency lights not working.	10/17/2018
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	8.11.2.1.1(f) (Insp code) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Emergency alarm not working.	10/16/2018
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.5 - Car lighting and receptacles	8.6.4.15 Emergency Lighting	x	Emergency Light/Alarm Bell not working. Changed battery & still not working possible electronic board issue.	9/8/2021
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	2.27.1.1.1 Means of Communication (Red Tag)		The device in elevator needs reprogramed or replaced. Incoming line good.	3/19/2021
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.17 - Standby power operation	2.27.2.3 (Elevator Emergency Power Illuminated Signal)		Emergency power signal light inop. Needs part	1/11/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	4.12 - Standby power selection switch	2.27.2	x	Key switch for emergency power car selection broken. Need new key switch	8/19/2024

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