S02 - RFQ Att 1 - Elevator Inspection Hydraulic Report.pdf

HYDRAULIC ELEVATOR INSPECTION REPORT

INSPECTOR SIGN___________________BUILDING NAME/#__________________ELEVATOR#________ November 1, 2023 Page 1 of 6

BUILDING NAME:_______________________________________________________________________________

BUILDING NUMBER:___________________________ELEVATOR NUMBER:_____________________________

ADDRESS:_____________________________________________________________________________________

BUILDING REPRESENTATIVE:______________________________________________________________________

CONTACT NUMBER:_____________________________________________________________________________

DATE OF INSPECTON:_________________________ ASME A17.1 CODE YEAR:__________________________

TYPE OF ELEVATOR: PASSENGER____ SERVICE____ FREIGHT____ CARTLIFT____ DUMBWAITER____

MATERIAL LOADING CLASS: A____ B____ C1____ C2____ C3____

TYPE OF PUMP UNIT: INTANK_______V-BELT_______ VALVE AND MOTOR ABOVE TANK______

MANUFACTURER:______________________________________________________________________

CAPACITY (LBS):______________________ CONTRACT SPEED(FPM):_______________________

1.0 ELEVATOR TEST DATA

1.1 FULL LOAD SPEED: UP_____DOWN_____ EMPTY SPEED: UP_____ DOWN_____

1.2 MOTOR VOLTS: UP DOWN MOTOR AMPS: UP DOWN

FULL LOAD: ______ _______ FULL LOAD: ______ _______

EMPTY CAR: ______ _______ EMPTY CAR: _______ _______

1.3 STATIC PRESURE (PSI): EMPTY CAR______ FULL LOAD______

1.4 WORKING PRESURE (PSI):EMPTY CAR______ FULL LOAD______

1.5 RELIEF VALVE PRESURE (PSI): FULL LOAD ON STOP RING______

1.6 DOWN OVERSPEED/RUPTURE VALVE: 10% ABOVE CONTRACT SPEED PASS______ FAIL______

1.7 ROPED HYDRAULIC SAFETIES: A____ B____ C____ N/A____

1.8 CAR SLIDE DISTANCE:_________ N/A_______

1.9 GOVERNOR TRIP SPEED (FPM):__________

1.10 OVERSPEED SWITCH TRIP SPEED (FPM):__________

1.11 GOVERNOR ROPE PULL THROUGH FORCE (LBF):_______ N/A_______

1.12 ONE HOUR RUN TEST:PASS____ FAIL____

1.13 MOTOR TEMPERATURE: START______ FINISH______

1.14 OIL TEMPERATURE RISE: START______ FINISH______

1.15 DOOR SPEED (SEC): CLOSE______ OPEN______ CLOSING FORCE (LBF)_______

November 1, 2023 Page 2 of 6

2.0 ELEVATOR MACHINE ROOM

2.1 ACCESS TO MACHINE ROOM PASS____ FAIL____ N/A____

2.2 HEADROOM (7 FEET MINIMUM) PASS____ FAIL____ N/A____

2.3 LIGHTING AND GFCI RECEPTACLES PASS____ FAIL____ N/A____

2.4 MACHINE SPACE PASS____ FAIL____ N/A____

2.5 HYDRAULIC POWER UNIT – MOTOR, PUMP AND TANK PASS____ FAIL____ N/A____

2.6 CONTROL AND RELIEF VALVE PASS____ FAIL____ N/A____

2.7 PRESURE SWITCH PASS____ FAIL____ N/A____

2.8 SUPPLY LINE AND SHUTOFF VALVE PASS____ FAIL____ N/A____

2.9 FLEXIBLE HOSE AND FITTINGS PASS____ FAIL____ N/A____

2.10 HOUSE KEEPING – CLEANED AND PAINTED PASS____ FAIL____ N/A____

2.11 HVAC - VENTILATION PASS____ FAIL____ N/A____

2.12 FIRE EXTINGUISHER PASS____ FAIL____ N/A____

2.13 GUARDS ON EQUIPMENT PASS____ FAIL____ N/A____

2.14 PIPE, DUCT, WIRING AND BUSHINGS PASS____ FAIL____ N/A____

2.15 NUMBERING OF EQUIPMENT PASS____ FAIL____ N/A____

2.16 FUSED DISCONNECT – SHUNT TRIP BREAKER PASS____ FAIL____ N/A____

2.17 CONTROLLER FUSES AND OVERLOADS PASS____ FAIL____ N/A____

2.18 LOW OIL PROTECTION PASS____ FAIL____ N/A____

2.19 BONDING WIRE AND GROUDING PASS____ FAIL____ N/A____

2.20 INSPECTION CONTROL PASS____ FAIL____ N/A____

2.21 CODE DATA PLATE PASS____ FAIL____ N/A____

2.22 MAINTENANCE CONTROL PROGRAM AND MAINTENANCE RECORDS PASS____ FAIL____ N/A____

2.23 MONTHLY FIRE SERVICE TEST LOG PASS____ FAIL____ N/A____

2.24 EMERGENCY POWER OPERATION (FULL LOAD IN CAR) PASS____ FAIL____ N/A____

2.25 EARTHQUAKE INSPECTION AND TESTS PASS____ FAIL____ N/A____

2.26 SMOKE DETECTORS_____ HEAT DETECTORS_____ SPRINKLERS_____ PASS____ FAIL____ N/A____

November 1, 2023 Page 3 of 6

3.0 ELEVATOR HOISTWAY – INSIDE

3.1 ACCESS TO HOISTWAY – CARTOP AND PIT PASS____ FAIL____ N/A____

3.2 HOISTWAY AND PIT LIGHTING PASS____ FAIL____ N/A____

3.3 HOISTWAY ENCLOSURE PASS____ FAIL____ N/A____

3.4 HOISTWAY DEVIDER BEAMS AND LEDGES PASS____ FAIL____ N/A____

3.5 ENTRANCE FRAMES (FULLY GROUTED) PASS____ FAIL____ N/A____

3.6 DUST COVERS2, FACIAS, TOP AND BOTTOM SHEAR GUARDS PASS____ FAIL____ N/A____

3.7 VISION PANELS PASS____ FAIL____ N/A____

3.8 HOISTWAY DOORS PASS____ FAIL____ N/A____

3.9 HOISTWAY DOOR LOCKING DEVICES PASS____ FAIL____ N/A____

3.10 MECHANICAL HOISTWAY DOOR CLOSURE PASS____ FAIL____ N/A____

3.11 EMERGENCY DOORS IN BLIND HOISTWAY PASS____ FAIL____ N/A____

3.12 HOISTWAY VENTILATION PASS____ FAIL____ N/A____

3.13 TRAVELING CABLE SUSPENSION PASS____ FAIL____ N/A____

3.14 TOP OF COUNTERWEIGHT CLEARANCE AND RUNBY (ROPED) PASS____ FAIL____ N/A____

3.15 BOTTOM OF CAR CLEARANCE, RUNBY AND REFUGE SPACE PASS____ FAIL____ N/A____

3.16 COUNTERWEIGHT, FRAME AND ROLLER GUIDES (ROPED) PASS____ FAIL____ N/A____

3.17 COUNTERWEIGHT SHEAVE OR SHACKLES AND HITCH PLATE (ROPED) PASS____ FAIL____ N/A____

3.18 CAR OVERHEAD CLEARANCE PASS____ FAIL____ N/A____

3.19 NORMAL TERMINAL STOPPING DEVICES PASS____ FAIL____ N/A____

3.20 FINAL TERMINAL STOPPING DEVICES PASS____ FAIL____ N/A____

3.21 CAR AND COUNTERWEIGHT BUFFERS AND TAGS PASS____ FAIL____ N/A____

3.22 PIT STOP SWITCHES PASS____ FAIL____ N/A____

3.23 GOVERNOR ROPE TENSION SHEAVE (ROPED) PASS____ FAIL____ N/A____

3.24 GUIDE RAILS, BRACKETS AND FASTENERS PASS____ FAIL____ N/A____

3.25 FLOOR NUMBERS ANS EMERGENCY IDENTIFICATION PASS____ FAIL____ N/A____

3.26 PIPE, DUCT, WIRING AND BUSHINGS PASS____ FAIL____ N/A____

3.26 EARTHQUAKE INSPECTION AND TESTS PASS____ FAIL____ N/A____

3.27 SMOKE DETECTORS_____ HEAT DETECTORS_____ SPRINKLERS_____ PASS____ FAIL____ N/A____

November 1, 2023 Page 4 of 6

4.0 ELEVATOR CAR – OUTSIDE

4.1 CROSSHEAD DATA, HOIST ROPE AND GOVERNOR ROPE TAGS PASS____ FAIL____ N/A____

4.2 STOP SWITCH PASS____ FAIL____ N/A____

4.3 LIGHT AND GFCI RECEPTACLES – TOP AND BOTTOM PASS____ FAIL____ N/A____

4.4 CARTOP OPERATING DEVICE PASS____ FAIL____ N/A____

4.5 DOOR REOPENING DEVICE PASS____ FAIL____ N/A____

4.6 DOOR OPENING RESTRICTOR PASS____ FAIL____ N/A____

4.7 CLEARANCE, REFUGE SPACE AND CARTOP RAILING PASS____ FAIL____ N/A____

4.8 CAR LEVELING DEVICE PASS____ FAIL____ N/A____

4.9 CARTOP EMERGENCY EXIT AND SAFETY SWITCH PASS____ FAIL____ N/A____

4.10 ELEVATOR NUMBER – TOP, BOTTOM AND PIT SWITCH PASS____ FAIL____ N/A____

4.11 PIPE, DUCT, WIRING AND BUSHINGS PASS____ FAIL____ N/A____

4.12 HOISTWAY RUNNING CLEARANCE PASS____ FAIL____ N/A____

4.13 CAR DOOR OPERATOR PASS____ FAIL____ N/A____

4.14 TRAVELING CABLE SUSPENSION AND RUNNING CLEARANCE PASS____ FAIL____ N/A____

4.15 CROSSHEAD, SIDE STILES AND BOLSTER CHANNEL/SAFETY PLANK PASS____ FAIL____ N/A____

4.16 CAR SAFETIES (ROPED) PASS____ FAIL____ N/A____

4.17 GOVERNOR ROPE AND RELEASE CARRIER (ROPED) PASS____ FAIL____ N/A____

4.18 HOIST ROPES, CARTOP SHEAVE OR SHACKLES AND HITCH PLATE (ROPED)PASS____ FAIL____ N/A____

4.19 CAR PLATFORM GUARD – TOE GUARD PASS____ FAIL____ N/A____

5.0 ELEVATOR CAR – INSIDE

5.1 CAR DOOR OR GATE PASS____ FAIL____ N/A____

5.2 DOOR CLOSING FORCE PASS____ FAIL____ N/A____

5.3 POWER OPENING AND CLOSING OF DOOR OR GATE PASS____ FAIL____ N/A____

5.4 CAR ENCLOSURE, INTERIOR FINISHES, SILL, FLOOR AND CEILING PASS____ FAIL____ N/A____

5.5 CAR VISION PANELS AND GLASS DOORS PASS____ FAIL____ N/A____

5.6 STOP SWITCHES PASS____ FAIL____ N/A____

5.7 OPERATING CONTROL DEVICES PASS____ FAIL____ N/A____

5.8 CAR LIGHTING AND GFCI RECEPTICLE PASS____ FAIL____ N/A____

5.10 EMERGENCY LIGHT AND ALARM PASS____ FAIL____ N/A____

5.11 EMERGENCY EXIT SECURED FROM OUTSIDE PASS____ FAIL____ N/A____

November 1, 2023 Page 5 of 6

5.12 VENTILATION PASS____ FAIL____ N/A____

5.13 ELEVATOR NUMBER PASS____ FAIL____ N/A____

5.14 DATA PLATE: CAPACITY, LOADING CLASS AND NUMBER OF PASSENGER PASS____ FAIL____ N/A____

5.15 SIGNAGE AND BRAILLE PLATES PASS____ FAIL____ N/A____

5.16 MEDICAL EMERGENCY PASS____ FAIL____ N/A____

5.17 CAR RIDE QUALITY PASS____ FAIL____ N/A____

5.18 EARTHQUAKE INSPECTION AND TEST PASS____ FAIL____ N/A____

5.19 FIREFIGHTER’S PHASE 2 OPERATION PASS____ FAIL____ N/A____

6.0 ELEVATOR HALL FIXTURES AND HOISTWAY ENTRANCES

6.1 HALL LANTERNS PASS____ FAIL____ N/A____

6.2 POSITIONS INDICATORS PASS____ FAIL____ N/A____

6.3 HALL CALL PUSH BUTTONS PASS____ FAIL____ N/A____

6.4 COMMUNICATION MONITORING LIGHT - ANNUNCIATOR AND KEY SWITCHPASS____ FAIL____ N/A____

6.5 MEDICAL EMERGENCY CALL – KEY SWITCH OR CARD READER PASS____ FAIL____ N/A____

6.6 BRAILE PLATES AND EMERGENCY EVACUATION PLATES PASS____ FAIL____ N/A____

6.7 ELEVATOR NUMBER ON ENTRANCE FRAMES PASS____ FAIL____ N/A____

6.8 FIREFITHER’S PHASE 1 OPERATION AND INDICATOR LIGHT PASS____ FAIL____ N/A____

6.9 SMOKE DETECTORS______HEAT DETECTORS______SPRINKLERS______ PASS____ FAIL____ N/A____

6.10 EMERGNECY POWER INDICATOR LIGHT PASS____ FAIL____ N/A____

6.11 EMERGENCY POWER SELECTOR KEY SWITCH PASS____ FAIL____ N/A____

ITEM # COMMENT CODE REFERENCE

November 1, 2023 Page 6 of 6

ITEM # COMMENT CODE REFERENCE

COMPANY NAME:_____________________________________________________________________

ADDRESS:____________________________________________________________________________

CITY, STATE, ZIP:_______________________________________________________________________

INSPECTOR’S QEI-1:#___________________________________________________________________

PRINT NAME:_________________________________________________________________________

SIGNATURE:__________________________________________________________________________

PASS____________FAIL____________ DATE OF INSPECTION___________________________________