Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Type of Lubricant Used

Damper 1

  • Type of Damper

  • How was this cleaned?

  • Type of Bearing?

  • Quality of the Bearings (1-10)

  • Was this damper lubricated?

  • How Would you rate this damper? (1-10)

  • Manufacturer of Actuator

  • Number of Actuators

  • Type of Connection?

  • How would you rate these Actuator(s) (1-10)

Damper 2

  • Type of Damper

  • How was this cleaned?

  • Type of Bearing?

  • Quality of the Bearings (1-10)

  • Was this damper lubricated?

  • How Would you rate this damper? (1-10)

  • Manufacturer of Actuator

  • Number of Actuators

  • Type of Connection?

  • How would you rate these Actuator(s) (1-10)

Damper 3

  • Type of Damper

  • How was this cleaned?

  • Type of Bearing?

  • Quality of the Bearings (1-10)

  • Was this damper lubricated?

  • How Would you rate this damper? (1-10)

  • Manufacturer of Actuator

  • Number of Actuators

  • Type of Connection?

  • How would you rate these Actuator(s) (1-10)

Damper 4

  • Type of Damper

  • How was this cleaned?

  • Type of Bearing?

  • Quality of the Bearings (1-10)

  • Was this damper lubricated?

  • How Would you rate this damper? (1-10)

  • Manufacturer of Actuator

  • Number of Actuators

  • Type of Connection?

  • How would you rate these Actuator(s) (1-10)

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