Inspection

Inspection Details

Equipment ID
23290

Inspection Date
6/24/2022

Inspection Type
Annual Inspection

Inspector Name
Michial Linenfelser

Mechanic Name
Marcus Geno

Relief Valve Pressure

Slide
Na

Governor Rope Pull
Na

Door Closing Force
23

External ID
54ac682a-985c-4d01-acb6-5c297d2e51ee

Location

SSM Health Outpatient Center-St. Charles
711 Veterans Memorial Pkwy, St. Charles, MO
Phone: (000) 000-0000
Email: michelle.deckard@ssmhealth.com

Owner

Attn: Samantha Bley
SSM Health- ESEP Department
1015 Corporate Square, Ste 160, St. Louis, MO 63132
Phone: (636) 947-5369
Email: Samantha.Bley@ssmhealth.com

Billing

Attn: Michelle Deckard
SSM-St. Joseph Hospital
300 1st Capitol Dr, St. Charles, MO 63301
Phone: (636) 947-5369
Email: michelle.deckard@ssmhealth.com

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	8.11.2.1.1(f) (Insp code) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	The elevator ADA telephone inside the elevator is not operating correctly. Check and repair the programming of this phone for proper operation and passenger safety.	8/26/2019
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	2.7 - Fire Extinguisher	8.11.2.1.2(g)		There is no fire extinguisher near the controller space, as required. Provide an ABC type extinguisher of proper size for the room.	9/24/2019
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		The current state operating certificate needs to be posted near the controller space in a non-combustible frame.	9/24/2019
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	2.7 - Fire Extinguisher	8.6.1.6.5		There is no fire extinguisher near the controller space, as required. Provide an ABC type extinguisher of proper size for the room.	9/24/2019
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		The current state operating certificate needs to be posted near the controller space in a noncombustible frame.	9/24/2019
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	11 CSR 40-5.090 Inspection and Testing	8.11 Periodic Inspection and Test.	x	The testing has not been completed on the elevator at this time. The weight test shall be performed, safeties set, and door pressure recorded before the inspection is completed.	8/9/2021
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	3.17 - Door and gate equipment	2.11		The fire tabs (Hoistway Door Safety Retainers) were not installed on the hoistway doors at the time of construction. The fire tabs shall be installed to retain the hoistway doors in the closed position if the primary means fails.
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.2.1 General Maintenance Requirements Documentation		A written Maintenance Control Program (MCP) shall be in place to maintain the equipment in compliance with the requirements of 8.6.The MCP shall include but not limited to examinations, tests, cleaning, lubrication, and adjustments to applicable components at regular intervals.
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.4.1(a) On-Site Maintenance Records (MCP Records)		There shall be maintenance records kept in the elevator machine room accessible to the inspector depicting dates and descriptions of maintenance tasks performed, callbacks, examinations, tests, adjustments, replacements and wiring diagrams. This shall be in accordance to the requirements in the Maintenance Control Program. Electronic means has NOT been approved by the State of Missouri.

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