Title Page


  • From: Rig Name and Number

  • Prepared by

  • Conducted on

  • Asset Number. Provide Photos

  • Inspect Shaker frame, Shaker bed. Provide Photos

  • Any visible Damages. Provide Photos

  • Standard or Low Profile shaker. Provide Photos

  • Inspect and function test Jacks. Provide Photos.

  • Inspect Springs, check for cracks or Breaks. Provide Photos

  • Inspect motor mount. Provide Photos


  • Inspect Main wire and Plug. Provide Photos

  • Remove Pecker head cover from Motor, Inspect Motor terminal and wire terminals. Provide Photos

  • Remove Motor End Caps, Ensure weights are set at 70%. ensure bolts are tight. Provide Photos

  • Inspect Motor Wire from starter box to Motor pecker head. Provide Photos

  • Inspect 90 at pecker head, Ensure that its tight. Provide Photos

  • Remove Motor Starter cover, Inspect starter and Heaters. Provide Photo

  • Function test start/Stop button on starter and cover. Provide Photos

  • Inspect all Power Wire for wear, flat spots and Cuts. Provide Photos

Test run Shaker

  • 60min

  • 120min

  • 180min


  • Provide Photos

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.