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H399--ELEVATOR INSPECTION BASE + 4 OYS Federal contract opportunity
Solicitation number
36C25221Q0553
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Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

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CHECKLIST FOR INSPECTION OF HYDRAULIC ELEVATORS

GENERAL NOTES:

(a) See ASME A17.2 - 2010 for detailed Code requirements.

(b) OK = meets requirements; NG = no good; NA = not applicable.

Address:

Periodic Inspection

Periodic Test – Cat-1

Periodic Test – Cat-3

Periodic Test – Cat-5

Acceptance Evaluation/Test

ID No:
Code Edition:
Passenger
Rated load:lbs.
Inspected by:
Date:
Freight class:
Rated speed:fpm
QEI No:
Certifying Organization:

Signature:

OK
NG
NA
OK
NG
NA
1
INSIDE OF CAR
2.32
Control valve
1.1
Door reopening device
2.33
Tanks
1.2
Stop switches
2.34
Flexible hose and fitting assemblies
1.3
Operating control devices
2.35
Supply line and shutoff valve
1.4
Sills and car floor
2.36
Hydraulic cylinders
1.5
Car lighting and receptacles
2.37
Pressure switch
1.6
Car emergency signal
2.38
Roped water hydraulic
1.7
Car door or gate
2.39
Low oil protection
1.8
Door closing force
2.40
Maintenance records
1.9
Power closing of doors or gates
2.41
Static control
1.10
Power opening of doors or gates
2.42
Earthquake inspection/test
1.11
Car vision panels and glass car doors
3
TOP OF CAR
1.12
Car enclosure
3.1
Top-of-car stop switch
1.13
Emergency exit
3.2
Car top light and outlet
1.14
Ventilation
3.3
Top-of-car operating device
1.15
Signs and operating device symbols
3.4
Top-of-car clearance and refuge space
1.16
Rated load, platform area, and data plate
3.5
Normal terminal stopping device

1.17

Standby power operation

3.6 Final and emergency terminal stopping devices

1.18 Restricted opening of car or hoistway doors

3.7

Car-leveling and anti-creep devices

1.19
Car ride
3.8
Top emergency exit

1.20

Earthquake inspection/test

3.9 Floor and emergency identification numbering

2
MACHINE ROOM
3.10
Hoistway construction
2.1
Access to machine space
3.11
Hoistway smoke control
2.2
Headroom
3.12
Pipes, wiring, and ducts
2.3
Lighting and receptacles
3.13
Windows/projections/recesses/setbacks
2.4
Machine space
3.14
Hoistway clearances
2.5
Housekeeping
3.15
Multiple hoistway
2.6
Ventilation
3.16
Traveling cables and junction box
2.7
Fire extinguisher
3.17
Door and gate equipment
2.8
Pipes, wiring, and ducts
3.18
Car frame and stiles
2.9
Guarding of exposed auxiliary equipment
3.19
Guide rails fastening and equipment

2.10 Numbering of elevators, machines, and disconnect switches

3.20

Governor rope

2.11
Disconnecting means and control
3.21
Governor releasing carrier
2.12
Controller wiring, fuses, grounding, etc.
3.22
Wire rope fastening and hitch plate
2.13
Governor, overspeed switch and seal
3.23
Suspension rope
2.14
Code data plate
3.27
Crosshead & rope data tags
2.17
Drive machine brake
3.28
Counterweight & buffer
2.30
Hydraulic power unit
3.29
Counterweight safeties
2.31
Relief valves
3.30
Speed test

CHECKLIST FOR INSPECTION OF HYDRAULIC ELEVATORS (Back)

OK
NG
NA
ON
NG
NA
3.31
Slack rope device
5.1
Pit access/lighting/stop switch/condition
3.32
Traveling sheave
5.2
Bottom clearance/runby/refuge space
3.34
Earthquake inspection/test
5.4
Normal terminal stopping device
4
OUTSIDE HOISTWAY
5.5
Traveling cables
4.1
Car platform guard
5.6
Governor rope tension device
4.2
Hoistway doors
5.7
Car frame and platform
4.3
Vision panels
5.8
Car/CW safeties and guiding members
4.4
Hoistway door locking device
5.11
Plunger and cylinder
4.5
Access to hoistway
5.12
Car buffer
4.6
Power closing of hoistway doors
5.13
Guiding members
4.7
Sequence operation
5.14
Supply piping
4.8
Hoistway enclosure
5.15
Overspeed valve
4.9
Elevator parking device
5.16
Earthquake inspection/test
4.10
Emergency doors in blind hoistways
6
FIREFIGHTERS’ SERVICE
4.12
Standby power selection switch
6.1
Phase I
5
PIT
6.1A
Phase II

The above checklist form

ASME

A050C7, has been computer enhanced by

Continental

Hoisting

Consultants, Inc.

The original

A050C7 may be obtained from

ASME

Order

Dept., Law

Drive, Box

2300, Fairfield, NJ

07007-2300

1.800.843.2763

PERFORMANCE DATA

Make:
Installation date:
# of landings:
# of openings:FR
Door entrance type:
Door entrance size:inXin
Typical floor rise:ft
ACTUAL SPEED:
EMPTY
FULL
REMARKS

Up - FPM (feet per minute)

Down - FPM (feet per minute)

PERFORMANCE TIMES: Time from start of door closing to doors open 32 in. (813mm) at adjacent floor.

Up (1) – Seconds

Down (1) – Seconds

MOTION TIME: Start to stop.

Up (1) – Seconds

Down (1) – Seconds

DOOR TIMES: Full open to full close – sec.
FRONT
REAR
REMARKS

Door Open

Door Close

Long (hall call) Dwell

Short (car call) Dwell

Detector (door ray) Hold

Nudging (Time/closing speed/closing force)

Closing Pressure (between 1/3 & 2/3) - max. 30 lbf.

GFR-CAR RIDE QUALITY: g-force rate
EMPTY
OPTIMAL RANGE
REMARKS

Start

UP

DN
.03mg’s - .09mg’s

Accel

UP

DN
.03mg’s - .09mg’s

Decel

UP

DN
.03mg’s - .09mg’s

Stop

UP

DN
.03mg’s - .09mg’s

Jerk

UP

DN
<15.0mg’s

ROPE DATA

LOCATION OF ROPES

MATERIALS

NUMBER

SIZE AND CONSTRUCTION
USED LIFE

(in months)

EST. LIFE

(in months)

REMARKS

HOIST

GOVERNOR

SAFETY TEST DATA

Category 1 Test Date:
Category 3 Test Date:
Category 5 Test Date:
Car Safety Device Type:

Maintenance Provider:

Copyright © Continental Hoisting Consultants, Inc. 1997-Revised 2012

“Elevator Safety Is No Accident”

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