Elevator Inspection and Testing Deficiency
Summary
The facility failed to inspect and test the elevators in Building #1 according to the required 12-month and 5-year intervals as specified by the American Society of Mechanical Engineers booklet A17-1 Safety Code for Elevators and Escalators 2004 Edition. Specifically, there was no documented evidence that the G Wing 1 and G Wing 2 elevators, the service elevator, and the dumbwaiter were inspected and tested during the years 2022 and 2024. Additionally, necessary repairs, such as the emergency phone and lighting circuit repairs for the G Wing 1 elevator, were not documented as completed. The service elevator also required a rupture test, which was not documented as conducted. During interviews, the facility's administrator expressed belief that the inspections and tests had been conducted but was unable to provide the necessary documentation. The facility also failed to ensure that the Electronic Plan of Correction was fully implemented by the Credible Allegation Date, as there was no evidence that the G Wing 1 elevator emergency phone was repaired or that a rupture test was conducted on the service elevator. This lack of documentation and failure to adhere to the required testing schedule led to the citation during the recertification survey.
Plan Of Correction
Plan of Correction: Approved February 18, 2025 1. Elevator inspection reports demonstrate completion every six months for the past three years for each elevator (4). Proposal for all outstanding repairs accepted on 12/10/24 and is scheduled to be completed by P(NAME) completion date of 2/3/25. 2. No other elevators exist in the building. 3. Inspection and testing schedule to be developed to assure compliance with frequency, with all results provided directly to the Director of Plant Operations for review to assure recommended repairs are addressed in a timely manner. 4. Inspection, testing and repair information will be provided to the Quality Assurance/Performance Improvement Committee on a quarterly basis for one year, with frequency to be reassessed after one year based on overall compliance with frequency and repair follow up. Responsible Party: Director of Plant Operations
Penalty
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