Inspection

Inspection Details

Equipment ID
5605

Inspection Date
11/3/2022

Inspection Type
Annual Inspection

Inspector Name
F. Scott Gibson

Mechanic Name
Paul Jaremko

Relief Valve Pressure
470

Slide

Governor Rope Pull

Door Closing Force
25

External ID
87136b75-7b8a-4cfd-a921-b2f126e7f63a

Chillicothe State Bank
600 Washington St, Chillicothe, MO
Phone: (660) 646-1077

Attn: Chillicothe State Bank
Chillicothe State Bank
600 Washington St, Chillicothe, MO 64601
Phone: (660) 646-5120
Email: Mkieffer@gostatebank.com

Same as Owner

Violations

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
A17.1-2016 : Elevators	6.4 - Firefighters' service (A17.1b-1989 and later editions)	8.6.11.1 Firefighters’ Emergency Operation Documentation			Test and log firefighter operation monthly	11/10/2021
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate			Post current state operating certificate inside machine room	11/10/2021
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate			The current State Operating Certificate not displayed or on site because owner didn't signoff on violation correction form.	11/10/2021
A17.1-1996 : Elevators	6.4 - Firefighters' service (A17.1b-1989 and later editions)	211.2-211.8	x	x	Building Fire System Control System-Lightning Struck System down with no protection for the Elevator. Red Tagged & Must Retest all initiating devices prior to Red Tag being removed.	12/12/2022
A17.1-1996 : Elevators	6.4 - Firefighters' service (A17.1b-1989 and later editions)	211.3a(8) Visual and audible signal	x		Per 211.3(b)(5) Fire Hat Visual is not functioning correctly must Re-inspect when issue has been corrected.	11/16/2023

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