Title Page

  • Site conducted

  • Date Conducted

  • Foreman/ Forelady Shift

  • Warehouse Coordiantor

Information

Mechanical Functionality

  • Conveyor free of Stains/Dirt

  • Belt aligned properly

  • Belt is Tightened

  • No abnormal noise observed

  • No abnormal scent on the conveyor

  • No signs of any damaged/Loose Hardware?

  • Wheel condition is in good condition

  • Rollers aligned and rotating smoothly

  • No signs of oil leaks or sugar leaks

  • Proper guarding in place to prevent access to moving parts

Electrical Functionality

  • Plug is in good condition, no signs of damage or exposed wiring.

  • Electrical Cord Conditions

  • Panel box Condition

  • Outlet Condition

  • Conveyor Belt Movement Functionality

  • Electrical Motor Box Condition

  • Free of Fault

  • Speed controls settings operational and appropriate

  • Emergency stop button functional and easily accessible

  • Other

Hand Over

  • Handover to:

  • Hand Over to: Signature

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