Inspection

Inspection Details

Equipment ID
17873

Inspection Date
11/9/2021

Inspection Type
5 Year Annual Inspection

Inspector Name
Michael Ledden

Mechanic Name
Douglas Miller

Relief Valve Pressure
500

Slide

Governor Rope Pull

Door Closing Force
12

External ID
3855618e-bd5e-480c-8e6d-f3412f890acf

First State Community Bank
308 W Lincoln Ave, Owensville, MO
Phone: (000) 000-0000

Attn: Donna Linhardt
First State Community Bank
308 W LINCOLN AVE, OWENSVILLE, MO 65066
Phone: (573) 860-1361
Email: dlinhardt@fscb.com

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		A current MO State operating certificate shall be obtained and displayed in the elevator machine room.	4/26/2021
A17.1-1996 : Elevators	2.41 - Maintenance Records	8.6.1.4		Provide a code compliant MCP including onsite documents.	4/26/2021
A17.1-1996 : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing		This elevator is equipped with an over speed valve that in not sealed. A category 5 test shall be performed on the over speed valve on or before the next annual inspection. The valve shall be sealed and tagged after the category 5 test.	4/26/2021
A17.1-1996 : Elevators	2.41 - Maintenance Records	8.6.1.4		A code compliant MCP and all the on-site documentation required by A17.1 2016 - 8.6.1.2.2 and 8.6.1.4 shall be provided in the machine room. (This item is for notification purposes for future violation in 2022)	12/31/2021
A17.1-1996 : Elevators	1.6 - Car emergency signal	306.11 (Hydro) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	The in car emergency alarm shall be operational.	1/9/2023
A17.1-1996 : Elevators	1.5 - Car lighting and receptacles	204.7a (3)(a) Standby Illumination in the car. (Re-Inspection)	x	The in car emergency light shall be operational.	1/9/2023

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