Title Page

  • Inspection No.

  • Inspection Title

  • Personnel Involved in Inspection

  • Customer (if applicable)

  • Site

  • Job Number (if applicable)

  • Conducted on

  • Report Prepared by

  • Location

General Information

  • Fixed Asset ID

  • Serial Number (if applicable)

  • Model Number (if applicable)

  • Maximum rated flow of pump (litres per minute)

  • Maximum rated pressure of pump (Bar)

  • Other Information

Mechanical

Pump

  • Pump running at max rated flow (as per specs)?

  • Pump running at max rated pressure (as per specs)?

  • Pump running smoothly without vibration?

  • Piston in good condition?

  • Pressure compensator functioning correctly?

  • Pressure relive valve functioning correctly?

  • Signs of leaks?

  • Signs of excessive heat?

  • Signs of clogging, water or debris?

Valves, Hoses and Fittings

  • Hoses and pipework in good condition?

  • Gaskets and seals in good condition?

  • Valves in good condition?

  • Air connections and fittings in good condition?

  • Oil lubricator functioning?

Tank

  • Cracks visible?

  • Signs of leaks?

  • Signs of deterioration?

  • Condition of air breather?

  • Condition of gaskets and seals

Sensors and Gauges

  • Sensors and gauges operational?

  • Sensors and gauges calibrated?

Drive Couplings and Bearings

  • Drive couplings in good condition?

  • Drive couplings aligned?

  • Bearings in good condition?

Other Items

  • Filter in good condition?

Electrical

Controls

  • Control Panel Unit in good condition?

  • Indicators clearly visible and working?

  • Buttons or switches operational?

  • Gaskets and seals in good condition?

  • Emergency stop button operational?

Electrical Wiring

  • Wiring overloaded?

  • Wiring frayed or damaged?

  • Wiring loose or exposed?

Motor

  • Signs of overloading?

  • Signs of excessive heat?

  • Any vibration?

  • Any unusual noise?

  • Terminal box in good condition?<br>

Additional Comments or Notes

  • Comments or Notes

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.