Title Page

  • Conveyor Number

  • Conducted on

Inspected by

  • Cameron Clark

  • Scott Greenwood

  • Josh Ward

  • Andy Pate

  • Other

  • Belt tracking within limits

  • Check Belt & Spilce for damage

  • All guarding secure

  • Skirt Condition

  • Plough Blade Condition

  • Faulty Rollers
  • Frame Number #

  • Roller Type

  • Position

  • Pulley Condtions
  • Pulley Number / Location

  • Temperature <60ø

  • Lagging Condition

  • Frame Conditions
  • Frame Number #

  • Frame Type

  • Comments

  • Motor Conditions
  • Motor Number #

  • Temperature <60ø

  • Any signs of Oil leaks

  • Gearbox Conditions
  • Gearbox Number #

  • Temperature <60ø

  • Any signs of Oil leaks

  • Primary Scrapper Condition

  • Secondary Scraper Condition

  • General Comments:

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.