P15 Passenger Hydraulic Cat 1 12-2-2024.pdf

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J035--ELEVATOR MAINTENANCE, INSPECTION, & REPAIR SERVICE VA SIERRA NEVADA HEALTH CARE SYSTEM
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36C26126Q1078
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This is an Elevator/Dumbwaiter Periodic Inspection Report for a hydraulic passenger elevator at VA Medical Center; VA Sierra NV Health Care Systems, located at 975 Kirman Ave, Reno, NV 89502. The inspection was conducted on December 2, 2024, by QEI-certified Inspector Houssam Zammam (Certificate #6212) and reported to Terry Barton at 775-784-3936. The equipment is identified as Serial No. M-4315-01, Elevator ID P15, manufactured by Schindler and maintained by Koch Elevator.

The elevator specifications include a 4000-pound capacity with 150 FPM (feet per minute), 400 PSI full load working pressure, and 500 PSI relief valve pressure. The inspection covered machine room, pit, hoistway/top or car, and car components across multiple safety and operational categories. The vast majority of inspected items—including access, lighting, brakes, limit switches, door interlocks, safety systems, and car interior features—were marked as "OK." Notably, the Hydraulic Test (Category One) was completed on 12/02/2024, while the Electric Test (Category Five) was last performed on 06/25/2020. Several components were marked "NA" (not applicable), including machine room electrical, flexible hose connections, governor-related items, and counterweight components, indicating these elements are not relevant to this specific hydraulic elevator model. The inspection confirms the elevator is in satisfactory operational condition for continued service.

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ELEVATOR/DUMBWAITER PERIODIC INSPECTION REPORT

NAME OF BUILDING: ______VA Medical Center; VA SIERRA NV HEALTH CARE SYSTEMS ADDRESS: ____ 975 Kirman Ave, Reno, NV 89502________________________________________________________ REPORT TO: __________Terry Barton__________________________ INSPECTION DATE: _ Dec. 2, 2024_______ ____

PHONE NUMBER: 775 784 3936.

SERIAL NO. #: M-4315-01

Electric ______ Hydraulic __X____ Passenger ______ Freight ______ Dumbwaiter ______ Lift ______ Material Lift

INSPECTOR I.D NO. ___QEI_Certificate # 6212______________

INSPECTOR SIGNATURE___Houssam Zammam___ ______ EQUIPMENT MAINTENANCE CO: __Koch Elevator________ EQUIPMENT MNFTR: _____Schindler_________________ Capacity:4000 LBS FPM: 150 Elevator ID P15, FLWP : 400 PSI , RL V P: 500 PSI

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] NA Hydraulic Test (Category One) [676] 12/02/2024

Electric Test (Category One) Cat 1 [672] NA Electric Test (Category Five) Cat 5 [673] 06/25/2020

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

Flexible Hose Connections [632] NA

Governor Sealed / Data Plate [120,122] NA Governor Switch [155] NA

Brakes [169] OK Driving Machines and Sheaves [147] NA 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] NA

Counterweight Guard [17] NA Governor Tension Sheave [119] NA Car/Counterweight Safeties [116] NA

OTHER OF SERVICE [659]

https://www1.thecomplianceengine.com/premise/show/836703

ELEVATOR/DUMBWAITER PERIODIC INSPECTION REPORT

HOISTWAY/ TOP OR CAR Comment 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] NA Governor Rope & Governor rope data plate [668, 121] NA

Suspension Rope Data [130] NA

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] 4000 Lbs.

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

File details come from the government source that posted it. Updated .