Inspection

Inspection Details

Equipment ID
19605

Inspection Date
11/5/2021

Inspection Type
Annual Inspection

Inspector Name
Dixon Liljegren

Mechanic Name
Donald Brown

Relief Valve Pressure
580

Slide

Governor Rope Pull

Door Closing Force
26

External ID
c5129d17-34c1-4d98-b7ea-832057b4b12d

Villages of Jackson Creek
3980 S JACKSON DR, INDEPENDENCE, MO
Phone: (816) 795-1433

Attn: Karin
Villages of Jackson Creek
3980 S JACKSON DR, INDEPENDENCE, MO 64057
Phone: (816) 350-4498
Email: karin.shelley@nhccare.com

Same as Owner

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	5.1 - Pit access, lighting, stop switch, and condition	8.6.4.7 Cleaning of Pits			Clean the pit and remove the water.	12/2/2022
MO Minimum : Elevators	(H) - Machine Rooms	(H)2			elev machroom needs to be seperated from telephone room by a 6ft grill fense with self closing self lockin door	3/14/2024

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