SITE SURVEY CHECKLIST - ELECTRICAL

General

• Site Name

• SP Number

• Conducted on

  Date

• Surveyor

  John Creamer

  Steve Pearce

  Paul Rollinson

  John Gartside
• Location
  Address

• Personnel

  Select John Creamer Steve Pearce Paul Rollinson John Gartside

  • John Creamer
  • Steve Pearce
  • Paul Rollinson
  • John Gartside

ACE Screener - General

• Motor Manufacturer

  Select ABB Siemens Lenze Electro WEG Other

  • ABB
  • Siemens
  • Lenze
  • Electro
  • WEG
  • Other

• Motor Serial No

• ATEX?

  Yes

  No

  Fault

• Motor kW

  Select 0.18 0.25 0.37 0.5 1.0 1.1 1.5 2.2 3.0 Other

  • 0.18
  • 0.25
  • 0.37
  • 0.5
  • 1.0
  • 1.1
  • 1.5
  • 2.2
  • 3.0
  • Other

• Voltage

  240 single phase

  400

  415

• Rated Current (A)

• RPM

• Frame Size

• Hours Run

• General Condition

  Good

  Okay

  Poor

• Ultrasonics Model

• Photographs

  Media

ACE Pump General

• Motor Manufacturer

  Select ABB Siemens Lenze Electro WEG Other

  • ABB
  • Siemens
  • Lenze
  • Electro
  • WEG
  • Other

• Motor Serial Number

• ATEX?

  Yes

  No

  Fault

• Motor kW

  Select 0.18 0.25 0.37 0.5 1.0 1.1 1.5 2.2 3.0 Other

  • 0.18
  • 0.25
  • 0.37
  • 0.5
  • 1.0
  • 1.1
  • 1.5
  • 2.2
  • 3.0
  • Other

• Voltage

  240 single phase

  400

  415

• Rated Current (A)

• RPM

• Frame Size

• Hours Run

• General Condition

  Good

  Okay

  Poor

• Photographs

  Media

Lisep - General

• Motor Manufacturer

  Select ABB Siemens Lenze Electro WEG Other

  • ABB
  • Siemens
  • Lenze
  • Electro
  • WEG
  • Other

• Motor Serial Number

• ATEX?

  Yes

  No

  Fault

• Motor kW

  Select 0.18 0.25 0.37 0.5 1.0 1.1 1.5 2.2 3.0 Other

  • 0.18
  • 0.25
  • 0.37
  • 0.5
  • 1.0
  • 1.1
  • 1.5
  • 2.2
  • 3.0
  • Other

• Voltage

  240 single phase

  400

  415

• Rated Current (A)

• RPM

• Frame Size

• Hours Run

• General Condition

  Good

  Okay

  Poor

• Photographs

  Media

• Is Lipactor fitted?

Lipactor - General

• Motor Manufacturer

  Select ABB Siemens Lenze Electro WEG Other

  • ABB
  • Siemens
  • Lenze
  • Electro
  • WEG
  • Other

• Motor Serial Number

• ATEX?

  Yes

  No

  Fault

• Motor kW

  Select 0.18 0.25 0.37 0.5 1.0 1.1 1.5 2.2 3.0 Other

  • 0.18
  • 0.25
  • 0.37
  • 0.5
  • 1.0
  • 1.1
  • 1.5
  • 2.2
  • 3.0
  • Other

• Voltage

• Rated Current (A)

• RPM

• Frame Size

• Hours Run

• General Condition

  Good

  Okay

  Poor

• Photographs

  Media

Ace Screener

• Correct rotation?

  Yes

  No

  Fault

• Drip proof cowl?

  Yes

  No

  Fault

• Gearbox Noisy?

  Yes

  No

  Fault

• Motor Bearings Noisy?

  Yes

  No

  Fault

• Terminal box water ingress?

  Yes

  No

  Fault

• E-Stop Pushbuttons Working?

  Yes

  No

  Fault

• Local Isolator Working?

  Yes

  No

  Fault

• Guard Switches Fitted/Working?

  Yes

  No

  Not Fitted

• Screener Park Switch Working?

  Yes

  No

  Not Fitted

• Float Switch Working?

  Yes

  No

  Fault

• Cable & Glands Tight?

  Yes

  No

  Fault

• Start/Stop Pushbuttons Working?

  Yes

  No

  Fault

• Emergency Stop Indicators Working?

  Yes

  No

  Fault

• Equipment Indicator Lamps Working?

  Yes

  No

  Fault

• Ammeter Working?

  Yes

  No

  Fault

• Frost Thermostat Working?

  Yes

  No

  Not Fitted

• Control

  Yes

  No

  Fault

ACE Pump

• Correct rotation?

  Yes

  No

  Fault

• Drip proof cowl?

  Yes

  No

  Fault

• Motor Bearings Noisy?

  Yes

  No

  Fault

• Terminal box water ingress?

  Yes

  No

  Fault

• E-Stop Pushbuttons Working?

  Yes

  No

  Fault

• Local Isolator Working?

  Yes

  No

  Fault

• Guard Switches Fitted/Working?

  Yes

  No

  Not Fitted

• Cable & Glands Tight?

  Yes

  No

  Fault

• Start/Stop Pushbuttons Working?

  Yes

  No

  Fault

• Emergency Stop Indicators Working?

  Yes

  No

  Fault

• Equipment Indicator Lamps Working?

  Yes

  No

  Fault

• Ammeter Working?

  Yes

  No

  Fault

Liquid Separator (Lisep)

• Correct rotation?

  Yes

  No

  Fault

• Drip proof cowl?

  Yes

  No

  Fault

• Motor Bearings Noisy?

  Yes

  No

  Fault

• Terminal box water ingress?

  Yes

  No

  Fault

• E-Stop Pushbuttons Working?

  Yes

  No

  Fault

• Local Isolator Working?

  Yes

  No

  Fault

• Guard Switches Fitted/Working?

  Yes

  No

  Not Fitted

• Cable & Glands Tight?

  Yes

  No

  Fault

• Start/Stop Pushbuttons Working?

  Yes

  No

  Fault

• Emergency Stop Indicators Working?

  Yes

  No

  Fault

• Equipment Indicator Lamps Working?

  Yes

  No

  Fault

• Ammeter Working?

  Yes

  No

  Fault

Lipactor (skip if not fitted)

• Correct rotation?

  Yes

  No

  Fault

• Drip proof cowl?

  Yes

  No

  Fault

• Gearbox Noisy?

  Yes

  No

  Fault

• Motor Bearings Noisy?

  Yes

  No

  Fault

• Terminal box water ingress?

  Yes

  No

  Fault

• E-Stop Pushbuttons Working?

  Yes

  No

  Fault

• Local Isolator Working?

  Yes

  No

  Fault

• Guard Switches Fitted/Working?

  Yes

  No

  Not Fitted

• Cable & Glands Tight?

  Yes

  No

  Fault

• Start/Stop Pushbuttons Working?

  Yes

  No

  Fault

• Emergency Stop Indicators Working?

  Yes

  No

  Fault

• Equipment Indicator Lamps Working?

  Yes

  No

  Fault

• Ammeter Working?

  Yes

  No

  Fault

• Frost Thermostat Working?

  Yes

  No

  Not Fitted

• Heating Mat?

  Yes

  No

  Not Fitted

• Control

  Yes

  No

  Fault

Comments and Observations

• Type here

• Signed

  Sign