HomeMy WebLinkAboutState Certificate of InspectionColorado Department of Labor and Employment Phone: 303-318-8525
Division of Oil and Public Safety - Amusement Rides and Devices Program Fax:303-318-8534
633 17`h Street, Suite 500 Email: cdle_amusements@state.co.us
' Denver, CO 80202-3610 Web: ops.colorado.gov
Amusement Ride or Device Certificate of Inspection
(Revised 4/23/2020)
An Inspection by an Inspector must be conducted on each Amusement Ride or Device. The Inspection shall be conducted with
the Amusement Ride or Device in an operable state prior to opening to the public and include an evaluation of the ride or device for
a minimum of one complete operating cycle. A separate Certificate of Inspection shall be completed and signed by each Inspector
per group of amusement rides or devices. The annual Inspection shall also include a review of the Operator's Daily Inspection
records, inspection and maintenance program records and training records in accordance with the standards adopted by these
regulations and the manufacturer's recommendations, as applicable.
It is the Operator's responsibility to ensure that signed certificates are promptly submitted to the Amusement Rides and
Devices Program upon completion of the Inspections.
Owner/Operator Information
Owner/Operator Name:
Glenwood Caverns Adventure Park
Registration*
131
Email Address:
nheard@glenwoodcaverns.com
Phone #:
(970) 945-4228
Permanent Address:
Street:
51000 Two Rivers Plaza Rd
City:
Glenwood Springs J
State:
Colorado
ZIP: 81601
Location of Inspection:
Street:
Same
City:
State:
ZIP'
Amusement Ride or Device Information
Each item number on the Certificate of Inspection is considered to represent one ride or device. Devices such as Aerial Adventure
Courses, Trampoline Courts, and Zip Lines are generally considered to be one ride or device based on the Information Plate.
Item
Class Inspection
#
Name
Serial #
Manufacturer / Year
A B Date
1
Euro-Fighter 330/3/8
21-14
Gerstlauer / 2021
�P
07/01/2022
2
XXX
XXX
XXX
El XXX
3
XXX
XXX
XXX
XXX
4
XXX
XXX
XXX
XXX
5
XXX
XXX
XXX
XXX
Inspection Information
Inspection Type:
Annual
Major Modification
New Installation
f
Inspector Information and Certification
Inspector Name:
C W Craven
Inspection company:
Worldwide Safety Group Inc.
Email Address:
cwcraven@earthlink.net
Phone #:
(253) 495-2011 cell
Business Address:
Street:
4307 US Hwy 92W
City:
Plant City
I State:
FL 1
ZIP: 33563
Certification Type:
1
2 1 V
I 3
4
f 5
I hereby certify that the above described Amusement Ride(s) or Device(s) were inspected, in accordance with the Colorado
Amusement Rides and Devices Regulations (7 CCR 1101-12) and that any deficiencies identified or noted at the time of Inspection
have been corrected. For new installations and Major Modifications, I hereby certify that I am not affiliated by employment or
Subsidiary Relationship to the Operator of the Amusement Ride or Device, or the manufacturer, whose modification or new
installation is being inspected. -
Inspector Signature:
Date:
07/01 /2022
Colorado Division of Oil and Public Safety
ops,colorado.gov/