Title Page

  • Conveyor Number

  • Conducted on

Inspected By

  • Doug Bennett

  • Dragi Micovski

  • Other

  • Belt Condition

  • Splice Condition
  • Splice ID

  • Splice Condition

  • Priority

  • Primary Scraper

  • Secondary Scraper

  • Vee Plough

  • Tracker

  • Skirts

  • Pulley Condtions
  • Pulley ID

  • Lagging Condition

  • Faulty Rollers
  • Frame Number / Location

  • Roller Type

  • Position

  • General Comments

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