Inspection

Inspection Details

Equipment ID
19759

Inspection Date
2/17/2022

Inspection Type
Annual Inspection

Inspector Name
Tim Crafton

Mechanic Name
Jeff Setchfield

Relief Valve Pressure
470

Slide

Governor Rope Pull

Door Closing Force
24

External ID
10c98593-5284-479f-9580-e19b96c32821

Poplar Bluff Physicians Park
221 Physicians Park, Poplar Bluff, MO
Phone: (573) 727-9080

Attn: John Eastwood
Poplar Bluff Medical Partners
221 Physicians Park, Poplar Bluff, MO 63901
Phone: (573) 609-2489
Email: JEastwood@sfmc.net

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	2.27.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	EMERGENCY PHONE SHALL WORK	4/30/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		CERTIFICATE SHALL BE DISPLAYED IN ELEVATOR EQUIPMENT ROOM	6/11/2020
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing		OSV NOT SEALED TEST DUE IN 2021	8/2/2021
A17.1-2016 : Elevators	5.15.2 Unsealed Overspeed Valve	8.6.5.16.5 (Re-Inspect)	x	A17.1 - 8.6.5.16.5 OVERSPEED VALVE NOT SEALED, PERFORM REQUIRED 5 YR TESTING ON OR BEFORE THE NEXT INSPECTION DUE BY 2/17/2022 PER MISSOURI DEPARTMENT OF FIRE SAFETY/ ELEVATOR SAFETY DIVISION.	6/10/2022

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