Anonymous

Renew Inspection

Customer Unit inspect for repair

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Title Page

Nameplate picture
As Received Picture #1
As Received picture #2
As Received picture #3
As Received picture #4
RGA#
Unit Size
Ratio
Original MO#
Input
Output
HP
Service Factor
Figure #

Accessories

Couplings?
Mounting distance
Distance from coupling face to end of shaft
Distance from end of shaft to coupling face
Mounting distance
Overhang Distance
Recessed Distance
Does coupling have a seal?
Accessories
- N/A
- Elec Fan
- Shaft fan
- SCMS
- Backstop
- Pump / Cooler
- Sight Glass
- Reliability Package
- Other
Other Accessory
Backstop rotation (facing HS)
LS Coupling Seals
HS Coupling seals

Housing Components

OIL TROUGHS
OIL PANS
OIL DEFLECTOR
OIL DAMS
OIL WIPERS
OIL SLINGER
OIL SPRAYERS
COOLING TUBES

Anonymous

Renew Inspection

Customer Unit inspect for repair

Use this Template

Print as PDF

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.