S6 Passenger Traction 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 an electric passenger elevator located at the VA Medical Center, 975 Kirman Avenue, Reno, Nevada 89502. The inspection was conducted on December 2, 2024, by certified inspector Houssam Zammam (QEI Certificate #6212) and reported to Terry Barton at 775-784-3936. The equipment is Serial Number 812421, an electric passenger elevator with a 4000-pound capacity operating at 300 feet per minute, manufactured by TKE (TAC 50/40 model), Elevator ID S6, and maintained by Koch Elevator.

The inspection results indicate the elevator is in acceptable operating condition with all safety systems and components rated as "OK" across all major categories: machine room access and systems, pit components and safety features, hoistway and door mechanisms, and car interior systems and controls. Notable items marked as "Not Applicable" (NA) include the hydraulic test, flexible hose connections, platen head attachment, pull straps, car door restrictor, and selector switch. The most recent electric test (Category One) was completed on 12/02/2024, while the previous Category Five test was dated 02/10/2021. All critical safety components including brakes, governors, safeties, limit switches, door interlocks, traveling cables, and emergency systems were verified as functional and properly maintained.

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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: _ Dec. 2, 2024_______ ____

PHONE NUMBER: 775 784 3936.

SERIAL NO. #: 812421

Electric ____

Hydraulic ______ Passenger ______ Freight ______ Dumbwaiter ______ Lift ______ Material Lift

INSPECTOR I.D NO. ___QEI_Certificate # 6212______________

INSPECTOR SIGNATURE___Houssam Zammam___ ______ EQUIPMENT MAINTENANCE CO: __Koch Elevator________

EQUIPMENT MNFTR: _____TKE____TAC 50/40_________

Capacity: 4000 LBS FPM: 300 Elevator ID S6

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] 12/02/2024 Electric Test (Category Five) [673] 02/10/2021

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] OK Car/Counterweight Safeties [116] OK

OTHER OF SERVICE [659]

HOISTWAY/ TOP OR CAR Comment

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] OK 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] 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 .