General Information

Belt Condition

Splice Condition

Wear Condition

Belt Surface Temperature

Belt Speed (rpm)

Structure-Rails

Structure-Floor

Spillage-Front

Spillage-Mid

Spillage-Tail

Equipment

Head

Pulley Condition

Belt Cleaners

Belt Tracking Condition

Plow Condition

Head Noise (dB)

Head Bearing 1 Vibration (Hz)

Head Bearing 2 Vibration (Hz)

Head Section Temperature

Motor Temperature

Gearbox Temperature

Amperage Consumed

PT

Gearbox Vibration (dB)

Motor Temperature

Hydraulic Hose Condition

Snub Pulley Condition

V-Belt Condition

Sheaves Condition

Motor Noise Level (dB)

Gearbox Noise Level (dB)

Bend

Pulley Condition

Take-Up Bearing Condition

Take-Up Condition

Middle

Idler Condition

Noise Level (dB)

Skirt Condition

Material Build-Up

Return Idler Condition

General Noise Level (dB)

Conveyed Material Temperature

Tail

Tail Pulley Condition

Tail Noise Level (dB)

Tail Section Temperature

Extra Points

Grease Points Lubricated

Noise

Oil Levels

Running Analysis

Speed

Temperature Readings

Travel Information

Travel Time

Round Trip Mileage

Other

Other

Action Request

Total Labour

Comments