Inspection

Inspection Details

Equipment ID
20810

Inspection Date
9/29/2021

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Ronald Gist

Relief Valve Pressure
1600

Slide
0"

Governor Rope Pull
N/A

Door Closing Force
F=17/R=16

External ID
e9215508-ffcb-442e-af1e-6009b0d8c08a

Grace Baptist Church
3130 S Wall Ave, Joplin, MO
Phone: (417) 438-7992

Attn: Vicki Duley
Grace Baptist Church
3130 S Wall Ave, Joplin, MO 64804
Phone: (000) 000-0000
Email: vsduley@gmail.com

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
conversion	conversion	n/a		Must make car top light operable.	12/9/2019
conversion	conversion	n/a		Must make emegency Light operable	12/9/2019
conversion	conversion	conversion - reinspect	x	Must make Emergency phone operable.	10/17/2018
conversion	conversion	conversion - reinspect	x	Must make Emergency phone operable.	10/17/2018
conversion	conversion	n/a		Must make emegency Light operable	12/9/2019
conversion	conversion	n/a		Must make car top light operable.	12/9/2019
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	Must make Emergency Phone Operable	9/16/2019
A17.1-2016 : Elevators	2.34 - Flexible Hydraulic Hose and Fitting Assemblies	8.6.5.6		Must replace Hose from power unit to jack Exceeds 6years of age with no overspeed valve. 8.6.5.6

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