Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Top Exposure Frame

  • Upper lamps

  • Blower fans

  • Top lamp starters

  • Top lamp ballasts

  • All lamp indicator LEDS

  • Thermal cut off switch

  • Top shutter

  • Upper limit switch

  • Lower limit switch main chain lifts

Control Panel

  • Push buttons

  • All indicator lamps

  • E Stops

  • Pressure gauges

  • Timers

  • Extraction fans cleaned & checked

  • Main display

Polymer application chassis

  • Drive shaft clean & clear of debris

  • Drive belts in good condition

  • Drive limit sensors

  • Cable runner in good condition

  • Polymer ultra sonic sensor clean & in good condition

Lower frame

  • Foot switch

  • Pneumatics clean & in good condition

  • Infeed air solenoids

  • Top frame drive motor clean & check

  • Polymer chassis drive motor clean & check

  • Lower lamps

  • Lower ballast slower starters

  • Plug for lower lamp selection

  • Glass top

  • Glass bottom

  • Vacuum veins clean

  • Vacuum pressure check

  • Blower flans clean & check

  • Check yellow tubes

  • Top frame main screw jack

  • Main control cabinet clean

  • Glass height adjustment

  • Bearer bars are level

  • Carrier level

  • Glass level

  • Carrier clear of debris & blockages

Reclaim unit

  • On/off switch

  • Reset switch

  • Lamp indicators

  • Main barrel motor clean & ok

  • Hosing clean & good condition

  • Air lines

  • Control gear

  • Polymer bring in panel

Wash

  • E Stop

  • Temperature

  • Lid up / down switch

  • Power button

  • Timer control

  • Drum rotation button

  • Switch indicator

  • Pressure gauges

  • Lid rams

  • Main drum motor clean & ok

  • Chain tension clean & ok

  • Cam limit switch

  • Lid high level switch

  • Lid low level switch

  • Exhaust fans

  • Main pump

  • Solenoids dosing & water Infeed

  • Terminal boxes

  • Heating element

  • Drum clean

  • Dosing filter housings

  • Drum tensions

  • Nozzle condition

  • Drum bearings clean & correct setting

  • Inch pedals

Air Knife

  • E stop

  • Lid up/ down switch

  • Power button

  • Polymer reclaim

  • Indicator lamps

  • Drum cleanliness

  • Drum tensions

  • Drum bearings clean & correct seating

  • Blower air knife

  • Inch pedals

  • Lid rams

  • Lid high level switch

  • Lid low level switch

  • Main blower filter

  • Main drum motor for cleanliness & brushes

  • Exhaust system

  • Pneumatics

  • Heater

  • Cam limit switch

  • Chain tensions

Main control panel

  • Clean inside of control panel

  • Extraction fans

  • Main isolators

  • DOL on/off functions

  • Indicator

PX

  • Main switch

  • Power on/off

  • Cl timer

  • GL timer

  • CL GL toggle

  • Lamp indicators

  • CL total hour timer

  • GL total hour timer

  • Lid struts

  • Lid high level switch

  • Lid low level switch

  • Exhaust fans

  • Safety lid switch

  • CL lamps

  • GL lamps

  • Ballasts

  • Starters

  • LED lamp indicators

Dryer

  • Main switch

  • E stop

  • Temp controller

  • Heating default indicator

  • Air default indicator

  • Timer controls

  • Timer control indicators

  • Timer alarm

  • Main control panel clean

  • Drawers for easy movement

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.