Information

  • Site Name

  • SP Number

  • Client

  • Surveyor

  • Survey Date

  • Location
  • Personnel

  • Compliant with RAMS?

ACE Screener

ACE Screener - General

  • Screener Model

  • Serial Number

  • Hours Run

  • Generation

  • Configuration

  • Condition

Screener Components

  • Screen Plates

  • Brush Bristles/Assembly

  • Upper Arm

  • Lower Arm

  • Drive Arm Assembly

  • Link Arms

  • Drive Arm Bushes/Pins

  • Brush Adjustment Assemblies

  • Scraper Bushes/Pins

  • Gearbox/Motor

  • Scraper Arm Assembly

  • Casing, covers and guard switches

Other

  • Comments

  • Photos

ACE Pump

ACE Pump General

  • ACE Pump Model

  • Condition

  • Serial Number

  • Hours Run

Components

  • Headstock

  • Shearplate

  • Spring Housing

  • T Bolts/Nutserts

  • Gasket

  • Bearing Assembly

  • Mech Seal Assembly

Other

  • Lifting available?

  • Isolation Blade?

  • VNW?

  • Oil Clean?

  • Other Comments

  • Photos

Dewatering

Dewatering General

  • Lisep Model

  • Blade

  • Condition

  • Lisep Serial No

  • Lisep Hours Run

Components

  • Upper Screen

  • Lower Screen

  • Rotor

  • Pipework

  • Casting

  • Flipper Cover

  • Flipper

  • Casing, covers and guard switch

  • Motor OK

  • Motor Direction OK?

  • Lipactor fitted?

  • Lipactor type

  • Lipactor Serial No

  • Lipactor Hours Run

  • Gearbox/Motor

  • Auger

Other

  • Other Comments

  • Photos

  • Surveyor

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.