Title Page

  • Document No.

  • Equipment inspected

  • Site

  • Conducted on

  • Prepared by

  • Location

Tail end

  • Pulley lagging condition

  • Nip guard installed

  • Tail plumber block left side condition

  • Tail bearing left side seal condition

  • Tail left side lubrication condition

  • Tail plumber block right side condition

  • Tail bearing right side seal condition

  • Tail right side lubrication condition

  • Tensioning device in good condition

  • Tail end guarding condition

  • V-plough condition

  • Tail end chute condition

  • Are skirtings in good operational status

  • Spillage accumulation

Mid Section

  • Idler Condition

  • Spillage Build-Up under conveyor

  • Number of Return Idler faulty

  • Number of worn idlers

  • Splice condition currently

  • Structure condition

Tripper car head

  • Pulley lagging condition

  • Nip guard installed

  • Tripper head plumber block left side condition

  • Tripper head bearing left side seal condition

  • Tripper head left side lubrication condition

  • Tripper head plumber block right side condition

  • Tripper head bearing right side seal condition

  • Tripper head pulley right side lubrication condition

  • Bend pulley lagging condition at tripper

  • Bend pulley bearing conditions nr1 and nr 2

  • Bend pulley bearings lubrication condition

  • Guarding and access condition

  • Plat form condition free from spillage build up

  • head chute condition

  • Transfer chutes condition

Head Section

  • Pulley lagging condition

  • Nip guard installed

  • Scraper conditions

  • Drive side plumber block condition

  • Drive side bearing seal condition

  • Drive side lubrication condition

  • Non drive end plumber block condition

  • Non drive end seal condition

  • Non drive end lubrication condition

  • Guarding conditions

  • Status on Gearbox and motor

  • Are breather present on drive

  • Any oil leaks present on drive

Safety aspect

  • Pull cords conditions

  • Good housekeeping in area

  • Walk way condition along the belt

  • Nip gaurds in place

  • Start up siren

  • Fire 🔥 extinguisher and hydrants

  • Illumination along the belt

  • Gaurding condition at designated sections

  • Safety signs

Snub pulley

  • Pulley Lagging Condition

  • Lubrication conditions on bearings

  • Bearing seal and plumber block condition

  • Spillage build up condition

  • Structure condition

Take up pulley

  • Pulley Lagging Condition

  • Lubrication conditions on bearings

  • Bearing seal and plumber block condition

  • Spillage build up condition

Comments

  • Comments based on findings

  • Add signature

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