Title Page
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Conducted on
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Prepared by
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Location
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Equipment Number
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Assett Number
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Length of Conveyor
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Length of Conveyor when Flat Tail Drum to Head Drum
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Belt Type
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Belt Condition
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Belt Width
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Belt Roller Operational
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Angle of Rollers at Hopper
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Angle of Roller From Hopper up
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Gearbox Type
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Gearbox Drive
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Number of Drive Belts
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Drive Belt Lengths/Numbers
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Gearbox Ratio
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Back Stop Bearing in Place
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Motor Type
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Motor Size (KW)
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Drive Roller Bearings
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Drive Roller Bearing Housings
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Drive Roller Shaft Size
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Snub Roller Bearings
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Snub Roller Bearing Housing
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Snub Rollers Shaft Size
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Tail Drum Bearings
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Tail Drum Bearing Housing
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Tail Drum Shaft Size
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Head Drum Bearings
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Head Drum Bearing Housing
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Head Drum Shaft Size
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Chute Type
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Chute Condition
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Rotary Chute Diameter
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Can Conveyor Support Crab Fill
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Wheel Pin type
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Type of Wheel Axle
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Number of Wheel Studs
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Wheel Chain Drive Size
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Hopper Type
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Hopper Condition
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Main Upright Angle
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Main Ram Type
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Length of Ram when closed
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Main Ram Condition
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Main Ram Pressure Relief Valve Fitted
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Hydraulic Tank
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Hydraulic Motor Type
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Hydraulic Motor (KW)
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Hydraulic Jack Legs Fitted
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37 & 39m Conveyor operator Platform (Photo Required)
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Air Brakes fitted
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Air Brakes Operational
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Pre-Start Alarm Fitted
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Emergency Stop
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Side Guards in Place
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Side Guard Condition
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Concrete Counter Weight in Place
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Lifting Lug Upgraded
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Lifting Point Reinforced
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Additional Comments