Title Page

  • Conducted on

  • Prepared by

Pulley Inspection

  • Equipment Number

  • Is the equipment isolated

  • Condition of the drive pulley ( motor )

  • Is there a visible part number ? please text

  • Condition of the driven pulley

  • Is there a visible part number? please text

  • Condition of the drive belts

  • Parts needed, Replaced ?

  • Parts required

  • Add signature

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