Title Page

  • Conducted on

  • Prepared by

  • Conveyor id/number

  • Conveyor Belt Rating

  • Have you Checked Q/C documents for Step Length as per PN Rating?

Conveyor inspection

Conveyor top cover

  • Is there any damage, gouging or fabric showing

Bottom cover

  • Is there any damage, gouging or fabric showing

Belt splice top

  • Is the belt splice cracked, missing or lifting

Belt splice bottom

  • Is the belt splice cracked, missing or lifting

Guarding and barricading

  • Is the guarding and barricading present

  • Barricading

  • Guarding

Trough rollers

  • is there any damaged trough rollers

  • Have they been tagged and recorded

Impact rollers

  • Is there any damaged impact rollers

  • Have they been tagged and recorded

Return rollers

  • Is there any damaged return rollers

  • Have they been tagged and recorded

Tracking belt

  • Is the belt tracking correctly

Tracking frame

  • What is the tracking frame condition

Tail drum pulley

  • Is the tail drum lagging and grippers all intact

  • What is the temperature of bearing housing

  • Is the bearing or gearbox Grinding, rattling or noisy

Head drum pulley

  • Is the head drum lagging and grippers all intact

  • What is the temperature of bearing housing

  • Is the bearing or gearbox grinding, rattling or noisy

Ploughs

  • Is the plough touching belt and in good condition

Primary scraper

  • What type of scrapers is it

  • Tip length

  • Cushion type

  • Spring tension in mm

  • What condition is the scraper in

Secondary scraper

  • What type of scrapers is it

  • Tip length

  • Cushion type

  • Spring tension in mm

  • What condition is the scraper in

Head chute

  • What condition is the head cute in

Drift switch, rip switch and pull wire lanyard

  • Drift switch

  • Rip switch

  • Pull wire lanyard

Walkways and frame condition

  • Is the walkways and frame free from build up and rubbish

SAFETY

  • Is there any safety concerns or issues

  • Please explain briefly

Other Issues and faults

  • Is there any other faults or issues

  • Wot are they

Ideas and suggestions

  • Have you got any ideas or suggestions that can improve the plant or equipment

  • What is it?

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.