AttachmentD_Checklist.pdf

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Attached to
Elevator Maintenance and Repair Services
Solicitation number
65617
Issued by
Staunton City, Virginia

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This document is a checklist for the annual safety test and inspection of an elevator system located at the Virginia School for the Deaf and the Blind in Staunton, Virginia. The checklist covers a comprehensive set of components and systems within the elevator machine room, hoistway, and car, including door equipment, car frame and platform, guiding members, and control systems. The checklist identifies any deficiencies that require repair and notes items that are not applicable. This document is related to a state and local contract opportunity for elevator maintenance and repair services in the City of Staunton, Virginia. The contract is for electronic bids only.

The contract opportunity seeks to provide ongoing maintenance and repair services for the elevators at the Virginia School for the Deaf and the Blind and potentially other city-owned buildings. The contract term and any renewal options are not specified in the information provided. Pricing details, set-asides, incumbents, funding sources, and other salient commercial terms are also not included in the given documents.

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COMMONWEALTH of VIRGINIA Virginia School for the Deaf and the Blind

P.O. Box 2069, Staunton, VA 24402 (540)332-9000 Fax (540)332-9042

Safety Test Information: Annual Annual Relief Valve 3 Year Static Load

Key Code: No Deficiencies Needs Repair - NR Not Applicable – NA INSIDE OF CAR MACHINE ROOM (cont.) HOISTWAY (cont.)

Door reopening device Stop switch Operating control devices Car floor and landing sill Car lighting Car emergency signal Car door or gate Door closing force Power closing of doors/gates Power opening of doors/gates

Controlling wiring, fuses, grounding Hydraulic power unit Relief valves Control valves Tanks Flexible hudraulic hose and fitting Assemblies Supply line and shutoff valve Hydraulic cylinder Pressure switch

Multiple hoistway Traveling cables, junction boxes Door and gate equipment Car frame and stiles _____ Guide rails, fastening, equipment Governors, safeties, ropes and counterweights Railing on top of car

INSIDE HOISTWAY

Car platform guard

Car vision panels + glass car doors TOP OF CAR Hoistway doors Car enclosures Emergency exits Ventilation Signs + operating device symbols A/V Rate load, platform area+date plate

Top of car stop switch Car top light and outlet Top of car operating devices Top of car clearance + refuse space Normal terminal stopping device

Vision Panels Hoistway door locking device Access to hoistway Power closing of hoistway doors Sequence operation

Standby power operation Emergency terminal speed limited Hoistway enclosure Restricted opening of car or devices Elevator parking device hoistway doors Car ride

Anti-creep leveling device Crosshead data plate

Emergency doors in blind hoistways Standby power selection switch

MACHINE ROOM Top emergency exit PIT Access to machine space Headroom

Floor and emergency iD numbers Hoistway construction

Pit access, light and stop switch, and condition

Lighting and receptacles HOISTWAY Bottom clearance and run by Enclosure of machinery space Housekeeping Ventilation

Pipes, wiring and ducts Hoistway construction Hoistway smoke control

Plunger and cylinder Car buffer Normal terminal stopping devices

Fire extinguisher Windows, projection, recess Travel cables PIpes, wiring and ducts Guarding of exposed equipment and setbacks Hoistway clearances

Car frame and platform Guiding members

Numbering of elevators, machines, Supply piping and disconnect switches Registration number stamped/marked

Disconnecting means and Certificate posted control

Passenger Inspected by:

Freight VA License #:

Miscellaneous checks Door and gate equipment Firefighter’s services (phase 1 + 2)

Capacity:

Speed:

Date: _________________

Signature:

Elevator Co:

Elevator Location: ________________________________

Code Violations:

Safety Test Information: Annual Annual Relief Valve 3 Year Static Load
Key Code: No Deficiencies Needs Repair - NR Not Applicable – NA
INSIDE OF CAR MACHINE ROOM (cont.) HOISTWAY (cont.)
INSIDE HOISTWAY
Capacity: Speed:
Date: _________________
Code Violations:
Controlling wiring, fuses, grounding:
Text2:
Relief valves:
Door and gate equipment:
Text5:
Control valves:
Guide rails, fastening, equipment:
Flexible hudraulic hose and fitting:
Text9:
Supply line and shutoff valve:
Power closing of doors/gates:
Text12:
Text13:
Power opening of doors/gates:
Car platform guard:
Car vision panels + glass car doors:
Text17:
Vision Panels:
Car top light and outlet:
Text20:
Access to hoistway:
Text22:
Normal terminal stopping device:
Text24:
Elevator parking device:
Standby power operation Emergency terminal speed limited:
Emergency doors in blind hoistways (1):
Standby power selection switch:
PIT:
Floor and emergency iD numbers:
Text31:
Text32:
Text33:
Text34:
Plunger and cylinder:
Hoistway construction (1):
Text37:
Hoistway smoke control:
Normal terminal stopping devices:
Normal terminal stopping devices (1):
Text41:
Car frame and platform:
Text43:
Text44:
and disconnect switches:
Text46:
Text47:
Text48:
Inspected by:
VA License #:
Capacity:
Speed:
Elevator Co:
Date:
Elevator Location:
Code Violations:
Text57:
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Text98:
ELEV TYPE: Off
KEY CODE: Off
TEST INFO: Choice1

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