Title Page

  • Site

  • Conducted on

  • Prepared by

  • Location
  • Conveyor Identification

  • Client

  • Client contact number and Email

  • Conveyor Belt Width mm

  • Conveyor Belt Thickness mm

  • Roller Manufacturer

  • Model

  • Roller Type

  • A= Roller outside Diameter mm

  • B= Shaft Length mm

  • C= Between Flats mm

  • D= Roller Face Length mm

  • E= Shaft Diameted OD mm

  • F= Across Flats mm

  • G= Flat Length mm

  • H=Width of Bottom of mainframe mm

  • Trough or Return

  • Quantity of rollers per frame

  • Total quantity of rollers required

  • Notes / Recommendation's

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.