Information

  • SPLEIBEN LOGO.jpg
  • anelia@spleiben.co.za

Task Information

Task & Service Information

  • Date & Time Started

  • Customer

  • Conveyor No.

  • Team Members

  • Team Leader

  • Job Description

  • Splice Number Added?

  • New Splice Nr:

  • Material Used:

  • Work Place

  • Weather

  • Was time lost?

  • Total Lost Time:

  • Reason

  • Time to Start Conveyor Belt

  • Was this indicated to the Site Foreman?

  • Reason:

  • Date & Time Finished

Belt Information

    Belt Information
  • Belt Length (MM)

  • Top Cover (MM)

  • Bottom Cover (MM)

  • Belt Class

  • Manufactuer

  • Condition of Belt

  • Select Type of Job Done

  • Pulley Condition

  • Hot Splice Condition

  • Splice Length (MM)

  • Splice Length (MM)

  • Number of Steps

  • Splice Length (MM)

Signature Representatives

  • Mine Representative

  • Employee Number

  • Spleiben Representative

  • Employee Number

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.