S7 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 a passenger electric elevator located at the VA Medical Center, 975 Kirman Ave, Reno, NV 89502. The inspection was conducted on December 2, 2024, by certified inspector Houssam Zammam (QEI Certificate #6212) and reported to Terry Barton at phone number 775-784-3936.

The elevator (Serial No. 812421, Elevator ID S7) is a TKE TAC 50/40 model with a 4000-pound capacity and 300 feet per minute speed, maintained by Koch Elevator. The inspection encompassed comprehensive testing across multiple equipment categories, including machine room accessibility and maintenance, hydraulic and electrical systems, pit conditions, hoistway and car components, and safety features. The report documents 88 inspection points with status designations: the vast majority received "OK" ratings indicating compliance, while six items were marked "NA" (not applicable) including hydraulic testing, flexible hose connections, platen head attachment, pull straps, car door restrictor, and selector switch components. Two electrical tests were documented with completion dates of 12/04/2024 (Category One) and 02/10/2021 (Category Five). All critical safety systems, including brakes, safeties, governors, door interlocks, emergency exits, alarm systems, and fire service equipment, passed inspection and remain operational.

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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 S7

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] 12/04/2024 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 .