Matec Equipment Pre/Post Delivery Condition Report

• This Report Must be filled out Before, Post Application Use.

• Name (person completing inspection)

• Client / MATP Number

• Date and Time

  Date
• Location
  Address

• Scope of Works

Equipment Inspection

• General operation of unit

  Operable

  Needs repair

  N/A

• Electrical Box Condition

  Good

  Fair

  Poor

  N/A

• E-stop and buttons condition

  Good

  Fair

  Poor

  N/A

• HMI Screen condition

  Good

  Fair

  Poor

  N/A

• Electrical cables

  Good

  Fair

  Poor

  N/A

• Electrical motors/gearbox (Specify location of defected item)

  Good

  Fair

  Poor

  N/A

• valve operations (Specify locations of defected item)

  Operable

  Needs repair

  N/A

• Hydraulic pipes

  Good

  Fair

  Poor

  N/A

• Hydraulic Pump

  Good

  Fair

  Poor

  N/A

• Filter Cloth Condition

  Good

  Fair

  Poor

  N/A

• Filter plate Condition

  Good

  Fair

  Poor

  N/A

• Filter plate taps condition

  Good

  Fair

  Poor

  N/A

• Gauges

  Good

  Fair

  Poor

  N/A

• Slurry Pump

  Operable

  Needs repair

  N/A

• Notes

SIGNATURES

• Date/Time of Completion

  Date

• Labour Hours

• Of Person/s who completed the Inspection

  Sign

• Customer Sign Off

  Sign

SIGNATURES

• Sales/Project Manager Signature:

  Sign