Inspection

Inspection Details

Equipment ID
1500

Inspection Date
10/25/2021

Inspection Type
Annual Inspection

Inspector Name
Wendy Eiss

Mechanic Name
Clinton Severs

Relief Valve Pressure

Slide
NA

Governor Rope Pull
NA

Door Closing Force
22

External ID
dabe19fb-256e-4e26-a878-4a899d58de75

SSM Audrain Health Care
620 E Monroe St, Mexico, MO
Phone: (573) 582-8345
Email: david.schulte@ssmhealth.com

Attn: SSM Audrain Health Care Inc
SSM Audrain Health Care Inc
620 E Monroe St, Mexico, MO 65265
Phone: (573) 582-8345

Same as Owner

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.6.7 Signs and Data Plates			Need Phase II Fire operating instructions
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - 8.6.4.15 Car Emg Sys (Phone or alarm not functioning Mandatory Re-Inspection due in 14 days)	x		Need battery replaced for emergency lights and bell
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.6.7 Signs and Data Plates			Phase II Fire service instructions are incorrect for this year elevator.	1/6/2022
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	8.11.1.4(a) Elevators Placed in Inactive Status	x	x	last annual inspection 2021

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