Inspection

Inspection Details

Equipment ID
22641

Inspection Date
4/4/2022

Inspection Type
Annual Inspection

Inspector Name
F. Scott Gibson

Mechanic Name
Paul Jaremko

Relief Valve Pressure
570

Slide

Governor Rope Pull

Door Closing Force
20

External ID
ba0df880-5056-44b8-b5f9-dab1c0e655bf

Jefferson Medical Plaza
1502 N Jefferson St, Carrollton, MO
Phone: (660) 542-1695

Attn: Victor Ray
Carroll County Memorial Hospital
1502 N Jefferson St, Carrollton, MO 64633
Phone: (000) 000-0000
Email: victorr@ccmhospital.org

Same as Owner

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	2.7 - Fire Extinguisher	8.6.1.6.5			A Class ABC Fire Extinguisher shall be provided at MRL Control Space on Level 1.	5/21/2021
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	3.27 (Hydro) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Telephone Provider to the Hospital Changed systems & the Elevator Emergency Telephones were overlooked. Owner is working to clear issue. Alarm Bells in all cars are workimg.	4/20/2023

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