J 1502000 Facility Investment_VTE.pdf

SECTION J – 1502000 FACILITY INVESTMENT

Documents, Forms, Exhibits, and Other Attachments

Table of Contents

Number Title J-1502000-01 Definitions and Acronyms J-1502000-02 References and Technical Documents J-1502000-03 Service Order Summary Report Instructions J-1502000-04 Vertical Transportation Equipment (VTE) Inventory & PM Frequency (ATTACHMENT) J-1502000-05 Periodic & Annual VTE Certifications (ATTACHMENT) J-1502000-06 5 Year VTE Certifications (ATTACHMENT) J-1502000-07 Great Lakes Base Map J-1502000-08 VTE Historical Service Order Workload (ATTACHMENT) J-1502000-09 Periodic (6 Month) Checklists for Inspection of Electric & Hydraulic Elevators J-1502000-10 Annual Checklists for Inspection of Electric & Hydraulic Elevators J-1502000-11 5 Year Electric & Hydraulic Elevator Certification Data Sheets

J-1502000-01

Definitions and Acronyms

Definition Description Crane, Category 1 Portal cranes, Hammerhead cranes, Locomotive cranes, Derricks, Floating cranes (YD), Tower cranes, Container cranes, Mobile cranes (except those indicated as category 4), including truck, cruiser, crawler, warehouse/industrial cranes, and cranes used for dragline, pile driving, clamshell, magnet, bucket work, and Aircraft crash cranes.

Crane, Category 2 & 3 Cranes with rated capacities of 20,000 pounds or greater are category 2.

Examples are Overhead traveling cranes, Gantry cranes (rail mounted), Wall cranes, Jib cranes, Pillar cranes, Pillar jib cranes, Monorails and associated hoists, fixed hoists, including chain falls. Pedestal mounted commercial boom assemblies (fixed length, telescoping, and articulating types) attached to stake trucks, trailers, flatbeds, or railcars, or stationary mounted to piers, etc., with OEM rated capacities less than 2,000 pounds.

Crane, Category 4 Commercial truck mounted cranes, Truck mounted articulating boom cranes, Pedestal mounted commercial boom assemblies (fixed length, telescoping, and articulating types) attached to stake trucks, trailers, flatbeds, or railcars, or stationary mounted to piers, etc., with OEM rated capacities of 2,000 pounds and greater. Commercial truck mounted cranes and truck mounted articulating boom cranes with OEM capacities of 2,000 pounds and greater require a licensed operator even if the cranes are down rated below 2,000 pounds capacity for administrative purposes.

Equipment, Collateral Encompasses built-in and large substantially affixed equipment/property that is normally acquired and installed as part of a facility project.

Equipment, Installed Encompasses building-type equipment, built-in equipment, and large, substantially affixed equipment/property, and is normally acquired and installed as part of a facility project. Installed equipment is normally required to make a facility useful and operable. Removing such equipment would impair the usefulness, safety, or environment of the facility or the facility restoration work required after its removal, is substantial.

Equipment, Personal Property Personal property equipment includes all equipment other than collateral equipment. Such equipment, when acquired and used in a facility or a test apparatus, can be severed and removed aster erection or installation without substantial loss of value or damage thereto or to the premises where installed.

Facilities Life Cycle A facilities life cycle is divided into four stages, requirements (planning and design), acquisition (construction and acceptance), stewardship (operations, maintenance and repair), and disposal.

Facilities Maintenance Management The planning, prioritizing, organizing, controlling, reporting, evaluating, and adjusting of facilities maintenance operations to support the CNO/NAVFAC facilities policy and objectives and satisfy customers’ facility needs. Defined by the International Facility Management Association as “the practice of coordinating the physical workplace with the people and work of the organization.”

Definition Description Integrated Maintenance Program (Imp)

IMP is a recurring state-of-the-art, reliability-centered inspection, testing, maintenance and repair program that determines best practices for managing the functions and consequences of failures of facilities equipment and system components. IMP encompasses accepted commercial practices, including reactive, preventive, predictive and proactive maintenance, into one optimal program. The IMP approach gives the Contractor full responsibility to maintain systems and equipment and perform repairs whenever necessary to ensure equipment and systems are operational and remain in a constant state of readiness.

Service calls will not be issued for accomplishment of repairs on systems and equipment maintained under IMP.

Life-Cycle Costs A form of economic analysis that considers the total cost of owning, operating, and maintaining a building or system over its useful life.

Maintenance, Preventive Maintenance designed to increase the availability of the facilities/equipment by reducing the number of unexpected breakdowns or service interruptions. It is any planned maintenance activity that improves equipment life and avoid any unplanned maintenance requirements.

Management Information Systems- Maintenance

A computerized system that will provide sufficient information for management to evaluate differences between budgets and actual costs and evaluate performance.

Repair Repair is the restoration of facilities or equipment to such a condition that it may be effectively utilized for its designated purposes by overhaul, reconstruction, or replacement of constituent parts or materials which have deteriorated by action of the elements or usage, and which have not been corrected through maintenance. This term also applies to replacement of the entire unit or system if beyond economical repair.

The intent of repair is to have the equipment at normal working condition.

Replacement Replacement, as a distinct work element, is confined to a program of planned replacement of a facility or its components. It may be further limited to major components such as air conditioning compressors, furnaces or hot water heaters. Replacement is performed when the equipment has reached the end of its useful life; when it no longer can perform due to degradation of its internal components and repair is no longer cost effective. Included under the replacement would be the major rebuilding of any component, since rebuilding also restores performance.

Restoration Restoration of real property to such a condition that it can be used for its intended purpose. Includes repair or replacement work to restore facilities damaged by inadequate sustainment, excessive age, natural disaster, fire, accident or other causes.

Sustainment Maintenance and repair activities necessary to keep a typical inventory of facilities in “normal working condition”. Sustainment includes regularly scheduled maintenance as well as cyclical major repairs or replacement of components that occur periodically over the expected service life of the facilities.

Definition Description Service Order Any work required to return a facility, system, equipment or component to normal working condition. Service orders are minor facility problem requests or requests for other non-recurring work that is too small to be planned and estimated.

The purpose of a service order is to provide the Government with a means of issuing work up to a defined liability limit for requirements occurring outside of the specified recurring work. The Government may utilize service orders to accomplish any work up to the respective liability limit based on the service order classification.

Service Order Cycle Count down starts when the customer is notified that the work has been accepted to be accomplished to the time when the work chit is turned in by the craftsmen as complete is one complete cycle period for a service order.

Service Order, Emergency & Situational Arrest

Emergency or Situational Arrest is defined as any facility deficiency that immediately compromises the mission or life, health and safety. Always includes, but is not limited to, failure of any utility, fire protection, environmental control, or security alarm systems.

Service Order, Urgent Urgent is defined as any deficiency that does not immediately endanger personnel or property, but extended delays of repairs could result in damage to Government property, or soon affect the security, health, or well-being of personnel or the continued operation of a service or system.

Service Order, Routine Routine is defined as any work requirement within the defined work limit that does not qualify as emergency or urgent.

Service Order, Corrective Maintenance

Corrective Maintenance is defined as any identified deficiency or work requirement within the defined work limit that does not qualify as emergency, situational arrest or urgent.

Weight Handling Equipment

(WHE)

Weight handling equipment consists of cranes (e.g., portal cranes, jib cranes), rigging gear (e.g., slings, shackles), and associated equipment (e.g., portable hoists, dynamometers). For purposes of this technical sub-annex, WHE does not include mobile or transportable truck, crawler, and railway mounted locomotive cranes covered in 1700000 BSVE.

Acronym Title ATP Authorization To Proceed EFD Engineering Field Division BPVC Boiler and Pressure Vessel Code HVAC Heating, Ventilation, and Air Conditioning NAVFAC Naval Facilities Engineering Systems Command RPIE Real Property Inventory Equipment SCADA Supervisory Control And Data Acquisition SRM Sustainment, Restoration and Modernization UFC Unified Facilities Criteria UPL Unit Priced Labor UPV Unfired Pressure Vessel VTE Vertical Transportation Equipment WHE Weight Handling Equipment

J-1502000-02 References and Technical Documents

Reference Title EM 385 1-1 General Safety Requirements OSHA STANDARDS 29 CFR 1910, General Industry Standards 40 CFR 162 OSHA 1917.116 Elevators and Escalators OSHA Public Law 91-596 OSHA NAVFAC MO-118 Inspection of Vertical Transportation Equipment NAVFAC MO-200 Facilities Engineering Electrical Exterior Facilities ASME A17.1 Safety Code for Elevator and Escalators

ASME A17.2 American Standards Practice for the Inspection of Elevators, Escalators and Moving Walks, Inspector Manual

ASME A17.3 Safety Code for Existing Elevators and Escalators OPNAVINST 5090.1B Environmental and Natural Resources Protection Manual Public Law 94-580 Resource Conservation and Recovery Act (RCRA) NAVFAC P-307 Management of Weight Handling Equipment

UFC 3-430-07 Operations And Maintenance: Inspection And Certification Of Boilers And Unfired Pressure Vessels

UFC 3-490-06 Design and construction requirements for elevators in DOD Facilities.

UFC 3-600-02 O&M: Inspection, Testing and Maintenance of Fire Protection Systems

J-1502000-03 Service Order Summary Report Instructions

Deliverables Form Preparation Instructions

Deliverable Title: Service Order Summary Report Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

The Service Order Summary Reports shall be a compilation of the current month’s invoices for that months’ work and of the previous months Service Order Summary Reports with the following information:

a. Building number and equipment identification.

b. Date and time work began.

c. Date and time work was completed.

d. Detailed description of work actually completed, problems encountered, and recommended follow-up actions required.

e. Itemized description of material and parts used, including quantities and cost.

f. Total direct labor hours (by craft) expended, including travel time.

g. Name of person accepting the work and any comments written on the service order ticket.

h. Last name and first initial of the Contractor’s employee(s) performing the work.

i. Inclusion of the previous months Service Order Summary Reports.

j. Description of pending facility, equipment, and system discrepancies identified during execution of

PWS.

Submit a copy of the summary report via email to PAR and COR for Government review, comment, and approval.

J-1502000-04 Vertical Transportation Equipment (VTE) Inventory & PM Frequency

See ATTACHMENT J-1502000-04 - Vertical Transportation Equipment (VTE) Inventory & PM Frequency

J-1502000-05 Periodic & Annual VTE Certifications

See ATTACHMENT J-1502000-05 - Periodic & Annual VTE Certifications

J-1502000-06 5 Year VTE Certifications

See ATTACHMENT J-1502000-06 - 5 Year VTE Certifications

J-1502000-07

Great Lakes Base Map

Provided upon request to the awardee

*NOTE - The VTE Historical Service Order Workload data provided is for informational purposes only and is not meant to depict nor guarantee an equivalent workload; the data provided is intended to represent a rough order of magnitude.

J-1502000-08 VTE Historical Service Order Workload

See ATTACHMENT J-1502000-08 - VTE Historical Service Order Workload

J-1502000-09 Periodic (6 Month) Checklists for Inspection of Electric & Hydraulic Elevators

Periodic (6 Month) Checklist for Inspection of Electric Elevators

Activity/Serial #: Periodic inspection and test Annual 5 Year Base: Naval Station Great Lakes Acceptance inspection and test Building: Elevator Unit : Code Edition:

Passenger Rated load: Make: Elev. Company:

Freight class Speed: Mech. Signature:

Signature: Date: Cert. No: Certifying organization: NAVFAC

Item No. OK NG NA

1 INSIDE OF CAR

1.1 Door reopening device

1.2 Stop switch

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 and test zone 2 and up

2 MACHINE ROOM

2.1 Access to machine space

2.2 Headroom

2.3 Lighting and receptacles

2.4 Enclosure of machinery 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 &

disconnect switches

2.11 Disconnecting means and control

2.12 Controller wiring, fuses, grounding, etc.

2.13 Governor, over speed switch and seal

2.14 Code data plate

2.15 Static control

2.16 Overhead beam and fastenings

2.17 Drive machine brake

2.18 Traction drive machines

2.19 Gears and bearings

2.20 Winding drum machines

2.21 Belt or chain drive machines

2.25 traction sheaves

2.26 Secondary and deflector sheaves

2.27 Rope fastenings

2.28 Terminal stopping devices

2.29 Car safeties

2.40 Maintenance records

2.42 Un-Intended Movement

3 TOP OF CAR

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

Item No. OK NG NA

3.5 Normal terminal stopping device

3.6 Final and emergency terminal stopping devices

3.7 Car leveling and anti-creep devices

3.8 Top emergency exit

3.9 Floor & emergency identification numbering

3.10 Hoist way construction

3.11 Hoist way smoke control

3.12 Pipes, wiring & ducts

3.13 Windows, projections, recesses & setbacks.

3.14 Hoist way clearances

3.15 Multiple hoist way

3.16 Traveling cables & junction boxes

3.17 Door and gate equipment

3.18 Car frame and stiles

3.19 Guide rails fastening and equipment

3.20 Governor rope

3.21 Governor releasing carrier

3.22 Wire rope fastening and hitch plate

3.23 Suspension rope

3.24 Top counterweight clearance

3.25 Car, overhead, and deflector sheaves

3.26 Broken rope, chain or tape switch

3.27 Crosshead data plate & rope data tags

3.28 Counterweight and counterweight buffer

3.29 Counterweight Safeties

3.30 Speed test Up ________ Down ________

3.34 Earthquake Inspection and test zone 2 and up

4 OUTSIDE HOISTWAY

4.1 Car platform guard

4.2 Hoist way doors

4.3 Vision panels

4.4 Hoist way door locking devices

4.5 Access to hoist way

4.6 Power closing of hoist way doors

4.7 Sequence operation

4.8 Hoist way enclosure

4.9 Elevator parking device

4.10 Emergency doors in blind hoist ways

4.11 Separate counterweight hoist way

4.12 Standby power selection switch

5 PIT

5.1 Pit access, lighting, stop switch & condition

5.2 Bottom clearance, run by & minimum

refuge space

5.3 Final and emergency terminal stopping devices

5.4 Normal terminal stopping devices

5.5 Traveling cables

5.6 Governor rope tension sheave

5.7 Car frame and platform

5.8 Car & counterweight safeties and guiding members

5.9 Buffers & emergency terminal speed limiting device

5.12 Car buffer

5.13 Guiding members

5.16 Earthquake Inspection and test zone 2 and up

6 FIREFIGHTERS’ SERVICE

6 Firefighters’ service periodic

See ASME A17.2.2 for detailed Code requirements.

OK = meets requirements; NG = insert number to identify comment on page 2;

NA = not applicable.

Periodic (6 Month) Checklist for Inspection of Electric Elevators Deficiency Description

Activity/Serial # Date:

Base: Building: Elevator Unit:

Inspector: Cert. No: Organization: PWD/JDG

Item No. Deficiency Description

NOTE: The above document has been provided for reference purposes only and is intended to provide the Contractor with an overview of what test and inspection criteria the NAVFAC VTE INSPECTOR will be performing during the Periodic (6 Month) Inspection, Testing, and Certification. The Contractor shall assist the NAVFAC VTE INSPECTOR for the entire duration of the inspection.

Periodic (6 Month) Checklist for Inspection of Hydraulic Elevators

Activity/Serial #: Type of Inspection Preformed Base: Naval Station Great Lakes Routine / Periodic inspection Annual 5 Year Building: Elevator Unit Acceptance inspection and test

Passenger Rated load: Make: Code Edition:

Freight class Speed Inspected by:

1.1 Door reopening device

1.2 Stop switch

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 and test zone 2 and up

2 MACHINE ROOM

2.1 Access to machine space

2.2 Headroom

2.3 Lighting and receptacles

2.4 Enclosure of machinery 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 elevator’s, machines

& disconnect switches

2.11 Disconnecting means and control (sign)

2.12 Controller wiring, fuses, grounding, etc.

Check the phase reverse relay

2.14 Code data plate

2.30 Hydraulic power unit

2.31 Relief valves ________ psi

2.32 Control valve

2.33 Tanks

2.34 Flexible hydraulic hose & fitting assemblies

2.35 Supply line & shut-off valve

2.36 Hydraulic cylinder

2.37 Pressure switch

2.39 Low oil protection

2.40 Maintenance records. Has any oil been added?

2.41 Hydraulic Control

2.42 Earthquake Inspection and test zone 2 and up

3 TOP OF CAR

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 anti-creep devices

3.8 Top emergency exit

3.9 Floor & emergency identification numbering

3.10 Hoist way construction

3.11 Hoist way smoke control

3.12 Pipes, wiring & ducts

3.13 Windows, projections, recesses

& setbacks.

3.14 Hoist way clearances

3.15 Multiple hoist way

3.16 Traveling cables & junction boxes

3.17 Door and gate equipment

3.18 Car frame and stiles

3.19 Guide rails fastening and equipment

3.27 Crosshead data plate

3.30 Speed test Up ________ Down ________

3.34 Earthquake Inspection and test zone 2 and up

4 OUTSIDE HOISTWAY

4.1 Car platform guard

4.2 Hoist way doors

4.3 Vision panels

4.4 Hoist way door locking devices

4.5 Access to hoist way

4.6 Power closing of hoist way doors

4.7 Sequence operation

4.8 Hoist way enclosure

4.9 Elevator parking device

4.10 Emergency doors in blind hoist ways

4.12 Standby power selection switch

5 PIT

5.1 Pit access, lighting, stop switch & condition

5.2 Bottom clearance, run by & minimum

refuge space

5.3 Final and emergency terminal stopping devices

5.4 Normal terminal stopping devices

5.5 traveling cables

5.7 Car frame and platform

5.11 Plunger and cylinder

5.12 Car buffer

5.13 Guiding members

5.14 Supply piping

5.15 Over speed valve

5.16 Earthquake Inspection and test zone 2 and up

Periodic (6 Month) Checklist for Inspection of Hydraulic Elevators

NOTE: The above document has been provided for reference purposes only and is intended to provide the performing during the Periodic (6Month) Inspection, Testing, and Certification. The Contractor shall assist the NAVFAC VTE INSPECTOR for the entire duration of the inspection.

J-1502000-10

Annual Checklists for Inspection of Electric & Hydraulic Elevators

Annual Checklist for Inspection of Electric Elevators

Activity/Serial #: Periodic inspection and test Annual 5 Year Base: Naval Station Great Lakes Acceptance inspection and test Building: Elevator Unit : Code Edition:

Passenger Rated load: Make: Elev. Company:

Freight class Speed: Mech. Signature:

1.1 Door reopening device

1.2 Stop switch

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 and test zone 2 and up

2 MACHINE ROOM

2.1 Access to machine space

2.2 Headroom

2.3 Lighting and receptacles

2.4 Enclosure of machinery 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 &

disconnect switches

2.11 Disconnecting means and control

2.12 Controller wiring, fuses, grounding, etc.

2.13 Governor, over speed switch and seal

2.14 Code data plate

2.15 Static control

2.16 Overhead beam and fastenings

2.17 Drive machine brake

2.18 Traction drive machines

2.19 Gears and bearings

2.20 Winding drum machines

2.21 Belt or chain drive machines

2.25 traction sheaves

2.26 Secondary and deflector sheaves

2.27 Rope fastenings

2.28 Terminal stopping devices

2.29 Car safeties

2.40 Maintenance records

2.42 Un-Intended Movement

3 TOP OF CAR

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

Item No. OK NG NA

3.5 Normal terminal stopping device

3.6 Final and emergency terminal stopping devices

3.7 Car leveling and anti-creep devices

3.8 Top emergency exit

3.9 Floor & emergency identification numbering

3.10 Hoist way construction

3.11 Hoist way smoke control

3.12 Pipes, wiring & ducts

3.13 Windows, projections, recesses & setbacks.

3.14 Hoist way clearances

3.15 Multiple hoist way

3.16 Traveling cables & junction boxes

3.17 Door and gate equipment

3.18 Car frame and stiles

3.19 Guide rails fastening and equipment

3.20 Governor rope

3.21 Governor releasing carrier

3.22 Wire rope fastening and hitch plate

3.23 Suspension rope

3.24 Top counterweight clearance

3.25 Car, overhead, and deflector sheaves

3.26 Broken rope, chain or tape switch

3.27 Crosshead data plate & rope data tags

3.28 Counterweight and counterweight buffer

3.29 Counterweight Safeties

3.30 Speed test Up ________ Down ________

3.34 Earthquake Inspection and test zone 2 and up

4 OUTSIDE HOISTWAY

4.1 Car platform guard

4.2 Hoist way doors

4.3 Vision panels

4.4 Hoist way door locking devices

4.5 Access to hoist way

4.6 Power closing of hoist way doors

4.7 Sequence operation

4.8 Hoist way enclosure

4.9 Elevator parking device

4.10 Emergency doors in blind hoist ways

4.11 Separate counterweight hoist way

4.12 Standby power selection switch

5 PIT

5.1 Pit access, lighting, stop switch & condition

5.2 Bottom clearance, run by & minimum

refuge space

5.3 Final and emergency terminal stopping devices

5.4 Normal terminal stopping devices

5.5 Traveling cables

5.6 Governor rope tension sheave

5.7 Car frame and platform

5.8 Car & counterweight safeties and guiding members

5.9 Buffers & emergency terminal speed limiting device

5.12 Car buffer

5.13 Guiding members

5.16 Earthquake Inspection and test zone 2 and up

Annual Checklist for Inspection of Electric Elevators

NOTE: The above document has been provided for reference purposes only and is intended to provide the performing during the Annual Inspection, Testing, and Certification. The Contractor shall assist the NAVFAC VTE INSPECTOR for the entire duration of the inspection.

Annual Checklist for Inspection of Hydraulic Elevators

Activity/Serial #: Type of Inspection Preformed Base: Naval Station Great Lakes Routine / Periodic inspection Annual 5 Year Building: Elevator Unit Acceptance inspection and test

Passenger Rated load: Make: Code Edition:

Freight class Speed Inspected by:

1.1 Door reopening device

1.2 Stop switch

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 and test zone 2 and up

2 MACHINE ROOM

2.1 Access to machine space

2.2 Headroom

2.3 Lighting and receptacles

2.4 Enclosure of machinery 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 elevator’s, machines

& disconnect switches

2.11 Disconnecting means and control (sign)

2.12 Controller wiring, fuses, grounding, etc.

Check the phase reverse relay

2.14 Code data plate

2.30 Hydraulic power unit

2.31 Relief valves ________ psi

2.32 Control valve

2.33 Tanks

2.34 Flexible hydraulic hose & fitting assemblies

2.35 Supply line & shut-off valve

2.36 Hydraulic cylinder

2.37 Pressure switch

2.39 Low oil protection

2.40 Maintenance records. Has any oil been added?

2.41 Hydraulic Control

2.42 Earthquake Inspection and test zone 2 and up

3 TOP OF CAR

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 anti-creep devices

3.8 Top emergency exit

3.9 Floor & emergency identification numbering

3.10 Hoist way construction

3.11 Hoist way smoke control

3.12 Pipes, wiring & ducts

3.13 Windows, projections, recesses

& setbacks.

3.14 Hoist way clearances

3.15 Multiple hoist way

3.16 Traveling cables & junction boxes

3.17 Door and gate equipment

3.18 Car frame and stiles

3.19 Guide rails fastening and equipment

3.27 Crosshead data plate

3.30 Speed test Up ________ Down ________

3.34 Earthquake Inspection and test zone 2 and up

4 OUTSIDE HOISTWAY

4.1 Car platform guard

4.2 Hoist way doors

4.3 Vision panels

4.4 Hoist way door locking devices

4.5 Access to hoist way

4.6 Power closing of hoist way doors

4.7 Sequence operation

4.8 Hoist way enclosure

4.9 Elevator parking device

4.10 Emergency doors in blind hoist ways

4.12 Standby power selection switch

5 PIT

5.1 Pit access, lighting, stop switch & condition

5.2 Bottom clearance, run by & minimum

refuge space

5.3 Final and emergency terminal stopping devices

5.4 Normal terminal stopping devices

5.5 traveling cables

5.7 Car frame and platform

5.11 Plunger and cylinder

5.12 Car buffer

5.13 Guiding members

5.14 Supply piping

5.15 Over speed valve

5.16 Earthquake Inspection and test zone 2 and up

Annual Checklist for Inspection of Hydraulic Elevators

NOTE: The above document has been provided for reference purposes only and is intended to provide the performing during the Annual Inspection, Testing, and Certification. The Contractor shall assist the NAVFAC VTE INSPECTOR for the entire duration of the inspection.

J-1502000-11 5 Year Electric & Hydraulic Elevator Certification Data Sheets

Elevator Evaluation & Certification Data Sheet Electric Traction Elevators 5 Year Test

Activity/Address: Base:

Building: Elevator Unit: Type of Test: Date:

Installer: Year Installed: Maintenance Co.:

Service: Type: Roping: Stops:

MANUFACTURER

Controller: A17.1 Edition: Machine:

TEST DATA

MACHINE ROOM PIT

SPEED UP SPEED DOWN Bottom Counterweight Runby: in/mm No Load:

Rated Load:

CAR Buffer Test (rated speed w/ rated load):

Observed Ropes Slip Traction-Down Direction: Yes No Car/Counterweight CWT Buffer Test (rated speed w/ no load): Buffer Type:

Observed Ropes Slip Traction-Up Direction: Yes No Car Buffer Test (rated speed w/ rated load) Balance Load Test Plunger Return Time (Car):

Balanced Load: lbs CWT Buffer Test (rated speed w/no load) Up Amperage: Plunger Return Time (Counterweight):

Down Amperage:

Test By Hand: Yes No HOISTWAY Counterbalance: % Safety Test 125% Overload Brake Test: Safety Type (A, B, C):

Safety Switch: Yes No Length Of Safety Shoe:

Over speed Governor DATA TAG Observed hoist ropes slip traction:

Governor Manufacturer: Safety Adjustment Means Sealed: Yes No Governor Model Number: Type B Safety Slide Required by Code Governor Rope Material: Minimum: Maximum:

Rope Size & Construction: Safety Slide (slide marks minus length of shoe) Rope Breaking Strength (rbs): Car Counterweight DATA TAG TEST Right Side:

Governor Tripping Speed: Left Side:

Over speed Switch Trip Speed: Average:

Pull Through Force(ptf) (max 1/5 rbs): Drum Rope Pull-out:

Turns Left on Drum:

Releasing Carrier (max 60% ptf):

Governor Calibrated & Sealed: Yes No Pull Through Sealed: Yes No

TOP OF CAR

Crosshead Data Plate Rated Load: Serial Number:

Rated Speed: Rope Size:

Name:(print) Car Weight: Rope Construction:

NAVFAC Cert #: # of Ropes: Rope Breaking Strength:

Design Counterbalance: % Signature: Manufacturer:

NOTES:

1) The 5 year certification also includes the Annual Checklist for Inspection of Electric Elevators provided above.

2) The above document has been provided for reference purposes only and is intended to provide the Contractor with an overview of what test and inspection criteria the NAVFAC VTE INSPECTOR will be performing during the 5 Year inspection/certification. The Contractor shall assist the NAVFAC VTE INSPECTOR for the entire duration of the inspection/certification.

Elevator Evaluation & Certification Data Sheet Hydraulic Elevators 5 Year Test

Activity/Address: Base:

Building: Elevator Unit #: Type of Test: Date:

Installer: Code edition year:

Service: Type: Stops:

MANUFACTURER

Cylinder: Diameter: Model:

Controller: Model:

Pump Unit: Model:

TEST DATA

MACHINE ROOM PIT

SPEED UP SPEED DOWN Bottom Car Runby: in/mm No Load: Bottom Clearance: in/mm Rated Load: Pit Refuge Space: in/mm PRESSURE TEST Bottom Plunger Clearance Yes No Static Pressure: psi Rupture Valve Set (max 130% Rated Speed) fpm Working Pressure: psi Buffers Type Stroke Relief Pressure: psi HOISTWAY System Pressure Test (on Stop Ring) OK NG

PUMP UNIT MOTOR AMPS

Data tag: Amps No Load: Amps Working (Rated Load): Amps Fire Retardant Door-Lock Wires Installed: Yes No

Wiring Insulation to Ground: OK NG Fire Rating of Hoist way Entrance Assemblies:

Fire rating machine room door: OK NG PVC TEST PSI at start Date of test

Time PSI

TOP OF CAR

Top Runby:

Data tags Door operator Top of Car Clearance:

Code Top of Car Refuge Space:

Capacity Working pressure CROSSHEAD DATA PLATE Rated Load: Serial Number:

Rated Speed: Rope Size: N/A Car Weight: Rope Construction: N/A # of Ropes: N/A Breaking Strength: N/A Operating Speed Down Direction: fpm ONE HOUR TEST W/RATED LOAD START FINISH Installation Date:

Time: Manufacturer:

Ambient Temperature: MISCELLANEOUS HYDRAULIC TESTS Motor Temperature: Low Oil Timer OK NA NG

Oil Temperature: Pressure Switch OK NA NG

Manual Lowering Valve OK NA NG Battering Lowering OK NA NG 15 Min Drift Test OK NG

Name:(print) NAVFAC Cert #:

Signature:

NOTES:

1) The 5 year certification also includes the Annual Checklist for Inspection of Electric Elevators provided above.

2) The above document has been provided for reference purposes only and is intended to provide the Contractor with an overview of what test and inspection criteria the NAVFAC VTE INSPECTOR will be performing during the 5 Year inspection/certification. The Contractor shall assist the NAVFAC VTE INSPECTOR for the entire duration of the inspection/certification.