Inspection

Inspection Details

Equipment ID
5428

Inspection Date
9/27/2021

Inspection Type
Annual Inspection

Inspector Name
Wayne Ingram

Mechanic Name
Jeremiah Dugger

Relief Valve Pressure
460

Slide

Governor Rope Pull

Door Closing Force
18

External ID
3df9a908-73b8-4217-8789-5ec9496b5c31

Location

Glendale Gardens Health Systems
3535 E CHEROKEE ST, SPRINGFIELD, MO
Phone: (417) 889-9955

Owner

Attn: ukn
Glendale Garden Health Care Systems
5305 W VILLAGE PKWY STE 12, ROGERS, AR 72758
Phone: (417) 889-9955

Billing

Attn: Keith Steenbergen
Glendale Gardens Health Systems
3535 E CHEROKEE ST, SPRINGFIELD, MO 65809
Phone: (417) 889-9955
Email: glendaleadmin@socket.net

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
conversion	conversion	conversion - reinspect	x	Telephone not working-no voltage on line to controller-reinspect required	6/15/2018
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)11 Phone or alarm not functioning ( Mandatory Re-Inspection due in 14 days)		telephone not working--line voltage is low--second notice	6/19/2019
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Post updated certificate	1/11/2023
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.4 Maintenance records		No maintenance records	1/11/2023
MO Minimum : Elevators	(S) - Fire Service	8.6.11.1 Monthly Test and Log		Maintain mounthly log	1/11/2023
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Post updated certificate	1/11/2023
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - 8.6.4.13 - Door systems	x	Cannot use cab lighting to power door safety edge: NEC 620.22	11/1/2022
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.4.1(a) On-Site Maintenance Records (MCP Records)		Must Provide and Maintain all required MCP documentation and logs. 8.6.1.4.1	1/11/2023
MO Minimum : Elevators	(S) - Fire Service	8.6.11.1 Monthly Test and Log		Must perform and document Monthly Fire Service test. 8.6.10.1	1/11/2023
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		Must post current state operating Cert. in the Mach room. 5.100(2)	1/11/2023
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)8 Car Lighting		Car Lights and Fan must be a dedicated circuit. NEC 620.22 (Currently door safety edge is wired with Cab Light and fan)	1/11/2023

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