HomeMy WebLinkAbout1725 E Prospect Rd - Miscellaneous/Other - 10/22/2001Schindler Elevator Corporation Hydraulic Elevator Safety Tests
Test date: !!/ {I
ract number. 0' 111 Work
.00-rder-/p�/ ber. Building name: /L e ( Prt' jerc
ss: City: _L T (.e i�i /tr State: t-,O Zip: 0 (-'-'
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Equipment manufacturer i A ,. pl Install date: Facia &�y�fway doors numbered? t77 Yes ❑ No t�
City / State elevator number. Unit sedal numbertFC-ty-1 { yC� Owner's ID No. J �7 c� 10 l,7
Capacity: q006 Speed: Piston diameter: ,157,0 No Load PSI + Chart PSI + 25% = 1) 90
Test In accordance with the latest applicable ANSI 17.1 Code
Duty: Uf Passenger ❑ Service ❑ Freight... Freight Loading Class: ❑ C1 ❑ C2 ❑ C3--'*�'
Annual Test, Hydraulic Elevators
Buffers, Car Type: CYSpring ❑ Oil... Oil level: ❑ Good ❑ Poor Condition, before test: 11'Good ❑ Poor After test: IZ Good ❑ Poor
Stop switches In -car. VPass ❑ Fail Top -of -car: Pass ❑ Fail Pit: 111 Pass ❑ Fail OmrhE2T-E1"0 55'fl'FM
Safety switches Directional Limit Up: CI Pass Cl Fail Down. L7 Pass ❑Fail .F.i/nal Limit Up: ❑ Pass ❑ Fair E n/ Down: ❑ Pass ❑ Fail uKia
Selector cable: ❑ Pass El Fail mn/a Other: PlAnW jel l L7 Pass ❑ Fail
Fire service FER Phase 1: Operating? VYes ❑ No Did test pass? CTYes ❑ No... If no,r3 \j
FER Phase 2: Operating?, Uil"Yes El No Did test pass? UKes ❑ No... If no, Why:
Is lobby fire sign present? l•J Yes ❑ No
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Emery. items Does emery. power mode operate? ❑ Yes ❑ No S Not installed. Does hospital recall mode operate? ❑ Yes ❑ No CSNot installed
rs
e Rails
Rails/brackets
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Record door closing force; ! �.. force setting: lbs.
Distance between guides:
Condition, car rails & brackets: Ia Good ❑ Poor
Safety edge operating? l`S Yes ❑ Np Photocells operating? Ml Yes ❑ No ¢
Type: eel ❑ Wood
Relief valve Is relief valve adjusted to by-pass at not more than 125% of the working pressure? 21 Yes ❑ No 111-/o
Was in necessary to re -adjust the relief valve? ❑ Yes 127 No Are exposed relief valve adjustments sealed? Ifi Yes ❑ No
Static test How far did the car move down during the static test? OP in.
Remarks or recommended repairs:
Test completion
i
Are results of safety test satisfactory? f'fYes ❑ No If not, is re -testing recommended? ❑ Yes ❑ No
Comments:
Technician's signature:
Was an inspector present? ❑ Yes ❑ No Inspector's signature:
Did customer receive a copy of this test form? ❑ Yes ❑ No Customer's signature:
WHITE/OFFICE YELLOW/INSPECTOR
PINK/CUSTOMER