P11 Passenger Traction Cat 1 and Cat 5 1-29-2025.pdf

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J035--ELEVATOR MAINTENANCE, INSPECTION, & REPAIR SERVICE VA SIERRA NEVADA HEALTH CARE SYSTEM
Solicitation number
36C26126Q1078
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This is an Elevator/Dumbwaiter Periodic Inspection Report for Elevator P11 at the VA Medical Center located at 975 Kirman Ave, Reno, NV 89502. The inspection was conducted on January 29, 2025, by Inspector Leslie E. Lyons (QEI Certificate #C-7042) and reported to Terry Barton at 775-784-3936. The equipment is a 4,000 LBS capacity electric passenger elevator manufactured by Northern/Swift 2000 (Serial No. D76194) and maintained by Koch Elevator.

The inspection results show that the majority of components passed compliance checks, including machine room access and electrical systems, pit components, hoistway safety features, and car interior systems. However, two critical deficiencies were identified requiring corrective action: (1) the counterweight must be raised to the required clearance height from the pit floor, and (2) a new governor cable must be installed as the existing cable is undersized. Two additional components failed inspection: the Governor Tension Sheave and the Governor Rope & Governor rope data plate, both marked "Fail" with references to comments. Electric Test (Category One) and Electric Test (Category Five) were documented as completed on 1/29/2025. Components marked as "NA" (not applicable) include Hydraulic Test, Flexible Hose Connections, Platen Head Attachment, Pull Straps, Selector Switch-Rope/Tape/Chain, and Car Door Restrictor.

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ELEVATOR/DUMBWAITER PERIODIC INSPECTION REPORT

NAME OF BUILDING: ______VA Medical Center ______ ADDRESS: ____ 975 Kirman Ave, Reno, NV 89502________________________________________________________ REPORT TO: __________Terry Barton__________________________ INSPECTION DATE: _1-29-2025_______ ____

PHONE NUMBER: 775 784 3936.

SERIAL NO. #: D76194

Electric X

Hydraulic ______

Freight _____ _ Dumbwaiter

Lift ______ Material Lift

INSPECTOR I.D NO. ___QEI_Certificate #C-7042______________

Passenger X

INSPECTOR SIGNATURE___Leslie E. Lyons___ ______ _ EQUIPMENT MAINTENANCE CO: __Koch Elevator________ EQUIPMENT MNFTR: _____Northern/Swift 2000___________ Capacity:4,000 LBS FPM: 350

Elevator ID P11, Governor Electric-switch 380 FPM, tripping speed-jaws 430 FPM, Pull through 300 pound force.

Comment Access to Machine Room [30] OK Machine Room Door [32] OK Lighting [36] OK Location of Keys [600] OK M.R. Maintenance (not clean, storage) [619,602] OK Maintenance of Firefighters’ Service [649] OK Machine Room Electrical [39] OK Hydraulic Test (Category One) [676] NA

Electric Test (Category One) [672]

Electric Test (Category Five) [673]

Other equipment Test [608,683,684,685,686,687,691,692] OK

Flexible Hose Connections [632] NA

Governor Sealed / Data Plate [120,122] OK Governor Switch [155] OK Brakes [169] OK Driving Machines and Sheaves [147] OK Equipment Guarding [46] OK

PIT

Access to Pit [11] OK Light and Switch [12] OK Pit Stop Switch [15] OK Pit Maintenance (not clean, water or oil) [617,618] OK Limit Switch(s)-Bottom (normal, final, hydro) [148,149,240] OK Platen Head Attachment [221] NA

Counterweight Runby [19] OK Counterweight Guard [17] OK Governor Tension Sheave [119]

Car/Counterweight Safeties [116] OK

OTHER OF SERVICE [659]

HOISTWAY/ TOP OR CAR Comment

1/29/2025 1/29/2025

Fail

*1. Must be raised at required clearance height from pit floor.

*2. New governor cable must be installed (old one is undersized)

*(See in comments:)

ELEVATOR/DUMBWAITER PERIODIC INSPECTION REPORT

Hoistway Access Switches [74] OK

Hoistway Door Unlocking Devices [73] OK

Lighting [106] OK Stop Switch (161) OK

Inspection Station [151] OK

Limit Switch(s)- Top (normal, final, hydro) [148,149,204] OK

Hoistway Electrical [39] OK Cartop/ Car Electrical [164] OK

Hoistway Maintenance [617] OK

Cartop Maintenance [621] OK Hoistway Door Interlock [70] OK

Door Panel Clearance (horizontal, vertical) [53,63] OK

Door Bottom Guides [57] OK

Hoistway Door Safety Retainers [58] OK

Horizontal Hoistway Door Gap [56] OK

Guide Rails, Rail Brackets, Fastenings [144] OK

Guiding Members-Car [109] OK Traveling Cables [716,717] OK

Emergency Exit [85] OK

Anti-Creep [245] OK

Car Top Date (electric, hydro) [114,217] OK Pull Straps [66] NA

Hoistway Door Combination Mech. Lock&Contact [71] OK

Vertical Hoistway Door Gap [64] OK Selector Switch-Rope/Tape/Chain [157] NA

Safety Switch [155] OK

Suspension & Compensating Ropes [669] OK

Governor Rope & Governor rope data plate [668, 121] Suspension Rope Data [130] OK

Guiding Members-Counterweight [137] OK

CAR

Car Stop Switch (freight, pass alarm) [156,163,176] OK Alarm Bell (w/ alarm on standby power) [175] OK

Tow-Way Conversation [177] OK

Capacity Plate [113]

Car Light (W/Protection) [102,107] OK

Car Interior Secure [84] OK

Car Enclosure [83] OK

Car Ventilation [94] OK Fire Service Instruction [187] OK

Car Door/Gate Contact [99] OK

Electric Eyes/Infrared Curtain [81] OK

Safety Edge [81] OK

Door Pressure [80] OK

Door Time [79] OK

Car Door Restrictor [72] NA Auxiliary Lighting [105] OK

Operating Device Symbols [174] OK

4,000 lbs.

Fail *(See comments:)

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