Title Page
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Site conducted
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Date Conducted
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Foreman/ Forelady Shift
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Warehouse Coordiantor
Information
Mechanical Functionality
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Conveyor free of Stains/Dirt
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Belt aligned properly
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Belt is Tightened
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No abnormal noise observed
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No abnormal scent on the conveyor
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No signs of any damaged/Loose Hardware?
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Wheel condition is in good condition
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Rollers aligned and rotating smoothly
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No signs of oil leaks or sugar leaks
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Proper guarding in place to prevent access to moving parts
Electrical Functionality
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Plug is in good condition, no signs of damage or exposed wiring.
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Electrical Cord Conditions
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Panel box Condition
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Outlet Condition
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Conveyor Belt Movement Functionality
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Electrical Motor Box Condition
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Free of Fault
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Speed controls settings operational and appropriate
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Emergency stop button functional and easily accessible
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Other
Hand Over
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Handover to:
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Hand Over to: Signature