Inspection

Inspection Details

Equipment ID
12451

Inspection Date
3/30/2022

Inspection Type
5 Year Annual Inspection

Inspector Name
Sean Carmody

Mechanic Name
Jeffrey Miller

Relief Valve Pressure
360

Slide

Governor Rope Pull

Door Closing Force
24F/18R

External ID
ef624766-068e-40ff-b8dc-7244b1353736

Brookdale
1 NEW BALLAS PLACE, SAINT LOUIS, MO
Phone: (314) 432-5200

Attn: Kris Schroeder
Brookdale
PO Box 3133, Milwaukee, WI 53201
Phone: (314) 432-2814
Alt Phone: (636) 866-1466
Email: kschroeder1@brookdale.com

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
conversion	conversion	n/a		Emergency bell shall work with 110V off.	10/8/2019
conversion	conversion	n/a		Emergency light shall work.	10/8/2019
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.	6/30/2022
A17.1-1996 : Elevators	1.17 - Standby power operation	211.2	x	Elevators that are equipped to operate on emergency power shall be tested with no load in the car while operating on the emergency generator.	5/12/2023
A17.1-1996 : Elevators	1.17 - Standby power operation	211.2	x	Elevators that are equipped to operate on emergency power shall be tested with no load in the car while operating on the emergency generator.	5/22/2024
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Emergency light/bell not working.

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