Inspection

Inspection Details

Equipment ID
20995

Inspection Date
6/8/2022

Inspection Type
5 Year Annual Inspection

Inspector Name
Ronald Edwards

Mechanic Name
Keith Galvin

Relief Valve Pressure

Slide
4 ins

Governor Rope Pull
175

Door Closing Force
f-24 r-24

External ID
55cf6b15-0e7b-4ab1-bf70-1a3877138f2b

Location

Children's Mercy East Clinic
20300 E Valley View Pkwy, Independence, MO
Phone: (816) 478-5296

Owner

Attn: Children's Mercy Hospital
Children's Mercy Hospital
2401 Gillham Rd, Kansas City, MO 64108
Phone: (000) 000-0000

Billing

Attn: Scott Sales
Children's Mercy East Clinic
20300 E Valley View Pkwy, Independence, MO 64057
Phone: (816) 478-5296
Alt Phone: (816) 863-1677
Fax: (816) 478-5297
Email: sesales@cmh.edu

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.17 - Standby power operation	2.27.2	x	emg.standby power illumination signals not working	7/15/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	8.6.4.15 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	emg. phone not working	7/15/2020
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	8.6.4.15 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Emg lt not working	7/14/2021
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.2.2(b)(5)		need testing procedures for ascending car ,unintended motion	6/24/2022
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.2.2(c)(3)		need how to test info. on the phone	6/24/2022
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		no current cirt. displayed	6/15/2023
A17.1-2016 : Elevators	1.17 - Standby power operation	8.6.4.19.7 (Re-Inspection)	x	unable to test emg power at time of insp	6/20/2024

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