Exhibit 13 Hydraulic Elevator Checklist.pdf

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Elevator Maintenance Service at Four Minnesota Locations
Solicitation number
47PF0025R0003
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This document is a GSA Region 5 hydraulic elevator inspection checklist based on ASME A17.2-2014 standards, used for evaluating elevator systems in federal buildings. The checklist is divided into six major inspection sections: Inside of Car (20 items), Machine Room (17 items), Top of Car (27 items), Outside Hoistway (11 items), Pit (13 items), and Firefighters' Service (12 items).

The checklist requires inspectors to mark each item as OK (meets requirements), NG (needs attention, with comments required), or NA (not applicable). It includes detailed inspection points for both passenger and freight elevators, covering critical safety and operational components such as door mechanisms, emergency systems, control devices, power units, and seismic safety features. The form requires basic elevator information including rated load, speed, installation date, and type of inspection (Periodic, Category 1 Tests, or Category 3 Tests). The document concludes with spaces for inspector information, including QEI number, certifying organization, and signature.

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Region 5 – Great Lakes Region FMSP – Building Operations and Tenant Services

Hydraulic Elevator Inspection Checklist - ASME A17.2 - 2014

GENERAL NOTES:

(a) See ASME A17.2 for detailed Code requirements. Numbering is tied to the numbering of A17.2 sections.

(b) OK = meets requirements; NG = insert number to identify comment on back of this Checklist; NA = not applicable

Building:

Address:

City, State:

Elevator #:

Elevator Information

Passenger □ Freight □ Rated Load (lbs):____________

Freight Class: _______________ Rated Speed (fpm):__________

Code Data Plate Install Date:_____________ Inspection Date:_____________

Periodic □ Category 1 Tests □ Category 3 Tests □

1 INSIDE OF CAR OK NG NA

1.1 Door reopening device

1.2 Stop switches

1.3 Operating control device

1.4 Sills and car floor

1.5 Car lighting and receptacles

1.6 Car emergency signal

1.7 Car door or gate

1.8 Door closing force

1.9 Power closing of doors or gates

1.10 Power opening of doors or gates

1.11 Car vision panels and glass car doors

1.12 Car enclosure

1.13 Emergency exit

1.14 Ventilation

1.15 Signs and operating device symbols

1.16 Rated load, platform area, and data plate

1.17 Standby power operation

1.18 Restricted opening of car or hoistway doors

1.19 Car ride

1.20 Earthquake inspection & tests (seismic zone 2 or greater)

2 MACHINE ROOM OK NG NA

2.1 Access to machine space

2.2 Headroom

2.3 Lighting and receptacles

2.4 Machine space

2.5 Housekeeping

2.6 Ventilation

2.7 Fire extinguisher

2.8 Pipes, wiring, and ducts

2.9 Guarding of exposed auxiliary equipment

2.10 Numbering of elevators, machines, controllers, and disconnect switches

2.11 Disconnecting means and control

2.12 Controller wiring, fuses, grounding, etc.

2.13 Governor, overspeed switch, and seal

2.14 Code data plate

2.30 Hydraulic power unit

2.31 Relief valves

2.32 Control valve

2.33 Tanks

2.36 Hydraulic

2.37 Pressure switch

2.38 Roped water hydraulic elevators

2.39 Low oil

2.40 MCP & Maintenance records

2.41 Static control

2.42 Earthquake inspection & tests (seismic risk zone 2 or greater)

3 TOP OF CAR OK NG NA

3.1 Top of car stop switch

3.2 Car top light and outlet

3.3 Top of car operating device

3.4 Top of car clearance, refuge space, & standard railing

3.5 Normal terminal stopping device

3.6 Final and emergency terminal stopping devices

3.7 Car leveling and anticreep devices

3.11 Hoistway smoke control

3.12 Pipes, wiring, and ducts

3.13 Windows, projections, recesses, and setbacks

3.14 Hoistway clearances

3.15 Multiple hoistways

3.16 Traveling cables and junction boxes

3.17 Door and gate equipment

3.18 Car frame and stiles

3.19 Guide rails fastenings and equipment

3.20 Governor rope

3.21 Governor releasing carrier

3.22 Wire rope fastening and hitch plate

3.23 Suspension means

3.27 Crosshead data plate and rope data tags

3.28 Counterweight and counterweight buffer

3.29 Counterweight safeties

3.30 Speed Test

3.31 Slack Rope Test – Roped Hydro

3.32 Traveling Sheave – Roped Hydro

3.34 Earthquake inspection and tests (seismic zone 2 or greater)

4 OUTSIDE HOISTWAY OK NG NA

4.1 Car platform guard

4.2 Hoistway doors

4.3 Vision panels

4.4 Hoistway door locking devices

4.5 Access to hoistway

4.6 Power closing of hoistway doors

4.7 Sequence operation

4.8 Hoistway enclosure

4.9 Elevator parking device

4.10 Emergency doors in blind hoistways

4.12 Standby power selection switch

5 PIT OK NG NA

5.1 Pit access, lighting, stop switch, and condition

5.2 Bottom clearance, runby, and minimum refuge space

5.4 Normal terminal stopping devices

5.5 Traveling cables

5.6 Governor-rope tension device

5.7 Car frame and platform

5.8 Car & counterweight safeties and guiding members including roped-hydraulic elevators installed under A17.1b–1989 and later editions

5.11 Plunger and cylinder

5.12 Car buffer [Springs]

5.13 Guiding members

5.14 Supply piping

5.15 Overspeed valve

5.16 Earthquake inspection & tests (seismic risk zone 2 or greater)

6 FIREFIGHTERS’ SERVICE (FEO) OK NG NA

6.1 A17.1b–1973 through A17.1b–1980

6.2 A17.1–1981 through A17.1b–1983

6.3 A17.1–1984 through A17.1a–1988 and A17.3

6.4 A17.1b–1989 through A17.1d–2000

3.8 Top emergency exit

3.9 Floor and emergency identification numbering

3.10 Hoistway construction

6.5 A17.1-2000 & B44-00

6.6 A17.1-2004 & B44-04

6.7 A17.1-2007 & B44-07

6.8 A17.1-2010 & B44-10

6.9 A17.1-2013 & B44-13

NOTES:

Inspected by:

QEI Number:

Certifying Organization:

Signature:

GSA Region 5 - 8/2018

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