S02 - RFQ Att 3 - Elevator Inspection Certification VAMC.pdf
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- Solicitation number
- 36C25026Q0314
About this file
This document is a template for the United States Department of Veterans Affairs (VA) Vertical Transportation Equipment (VTE) Certificate, used to document inspection and compliance of elevators and escalators at VA Medical Centers (VAMCs).
The certificate serves as an official record that vertical transportation equipment has been inspected and meets the ASME A17.1 Safety Code for Elevators and Escalators. The form captures essential information including the VAMC location, building number, unit number, street address, city, and state. Equipment details required on the certificate include type of service (passenger or freight), equipment make, and capacity. The form also distinguishes between traction and hydraulic systems. Each certificate documents the inspection date, the name of the qualified elevator inspector (QEI-1), and the inspector's certification number. The certificate expires six months from the last inspection date. The original copy is maintained in the Facilities Manager's office, with a copy posted in the elevator. The template provides multiple rows for recording successive inspection dates and inspector credentials to maintain a historical inspection record for each piece of vertical transportation equipment.
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Text version
UNITED STATES DEPARTMENT OF VETERANS AFFAIRS
VERTICAL TRANSPORTATION EQUIPMENT CERTIFICATE
VAMC BLDG. NO. UNIT NO.
STREET ADDRESS CITY STATE
TYPE SERVICE (i.e., Pass, Freight) MAKE CAPACITY
This VTE has been inspected and meets ASME A17.1 Safety Code for Elevators and Escalators
DATE OF INSPECTION
VTE INSPECTOR
NAME QEI-1 CERT #
CERTIFICATE EXPIRES 6 MONTHS FROM LAST DATE
Original in Facilities Manager’s office – Copy in elevator
VERTICAL TRANSPORTATION EQUIPMENT CERTIFICATE
VAMC BLDG.# UNIT #
STREET ADDRESS CITY STATE
TRACTION________
HYDRAULIC_______
PASSENGER_____
FREIGHT_____
MAKE CAPACITY
This VTE has been inspected and meets ASME A17.1 Safety Code for Elevators and Escalators
DATE OF INSPECTION
VTE INSPECTOR
NAME QEI-1 CERT #
CERTIFICATE EXPIRES 6 MONTHS FROM LAST DATE
Original in Facilities Manager’s office
April 1, 2024
File details come from the government source that posted it. Updated .