Title Page


  • FROM: Rig Name and Number

  • Conducted on

  • Prepared by

  • Centrifuge Model / Asset # Provide Photos

  • inspect Coffin lid, chambers and below bowl. Provide Photo

  • Inspect Coffin latches. Provide Potos

  • Remove all guards and inspect belts. Provide photos

  • Inspect Main drive and Back drive motor bolts, are they secure and tight.

  • Roll bowl by hand. Does bowl move freely?

  • Remove feed tube, inspect feed tube. Provide photos

  • Inspect bowl for any uneven wear or damages. Provide Photos

  • Check Plows/ wear inserts in good operating conditions. Provide photos

  • Record Pond Setting


  • Grease outer bearings 10 shots. provide photos

  • Purge Inner bearings until clean grease comes out of purge hole. Provide photos

  • Is gearbox @ 10 or 2? if below 10 or 2 fill to proper level. Provide photos

  • Is Fluid clutch oil @ 10 or 2 (if Equipped) Provide photos


  • Inspect all wires for cuts and wear. Provide Photos

  • Inspect wire grommets on panel and motors. Provide Photos

  • Inspect start/Stop and rest buttons. Provide Photos

  • Inspect Vibration switch. Provide Photos

  • Inspect Power cord. Provide Photos

  • Inspect all plugs. Provide Potos

Test Run

  • Check Vibration

  • 60min runtime. Provide Reading

  • 120min runtime. Provide Reading

  • 180min runtime. Provide Reading


  • Paint Needed

  • 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.