Title Page
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Conducted on:
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Inspected Plant:
- Danbury
- Groton
- Hamden
- Manchester
- New Britain
- Newington
- Newtown
- North Branford
- Old Saybrook
- Portland
- Wallingford
- Waterbury
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Employees Performing Inspection:
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This form pertains to the weekly inspection of Tilcon's asphalt plants. Employees are required to identify whether there are any problems with the components of the asphalt plant listed on this form. If there are any existing problems, describe them in depth. When repairs are completed on documented problems, employees may edit previously submitted forms and include the date said repairs were performed.
Feeders
Belts (condition, splice)
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Is there a visual risk/problem?
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Problems
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Date Repaired
Tail (pulley take-ups, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, reducer belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (pulley, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Conveyors
Belts (condition, splice)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Idlers (troughing, return)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Tail (pulley take-ups, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, reducer belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (pulley, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Exhauster
Drive (motor, reducer belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bearings
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Fugitive System
Drive (motor, reducer belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bearings
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Dryer
Vibrators
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Trunnions
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, Shv/spr, belts/chain)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Burner
Valves (gas, oil, air)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, belts, drive motor)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Hot Elevator
Boot (shaft, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (shaft, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, Shv/spr, belts/chain)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Screen
Bearings (leaks, etc.)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, sheaves, belts)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Hot Bins
Gates (cylinders, valves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Mixer
Weighhopper (gate, cylinder, valve)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Kettle (gate, cylinder, valve)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Injection Pump (cylinder, valve, drive)
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Is there a visual risk/problem?
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Date Repaired
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Problems:
Drive (motor, red., coup., belts, shv.)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bearings
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bullgears
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Air Compressors
Drive (motor, coupling, air end)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Filters (air, oil, separator, leaks)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Air Dryer
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Baghouse
Drive (motor, red., belts, shv.)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bearings (tail, hard iron)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Rotary Valve
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Actuators
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Inclined Screws
Drive (motor, red., belts, shv.)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bearings (tail, hard iron)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
A/C System
Pump Drive (motor, red., belts, shv.)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Tank Heater (motor, valves, controls)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Oil Heater (motor, valves, controls)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Hot Oil Pump (motor, coupling)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Silos
Batchers (cyl., valves, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Gates (cyl., valves, oilers, seals)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Transfer Slatt
Drive (motor, shv/spr, coup, belt/chain)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Tail (sprocket, bearings, shaft)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (red., sprocket, bearings, shaft)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Main Slatt
Drive (motor, shv/spr, coup, belt/chain)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Tail (sprocket, bearings, shaft)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (red., sprocket, bearings, shaft)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
RAP Main Bin
Belts (condition, splice)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Tail (pulley, take-ups, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, reducer, belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (pulley, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bin (gates, skirts, vibrator, air cannon)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
RAP Conveyors
Belts (condition, splice)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Idlers (troughing, return)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Tail (pulley, take-ups, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, reducer, belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (pulley, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
RAP Screen
Bearing (leaks, etc.)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Screen Cloth
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Is there a visual risk/problem?
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Problems:
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Date Repaired
RAP Scavenger System
Drive (motor, belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bearing (leaks, etc.)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Fan (blade, housing, duct-work)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
RAP Weigh Hopper
Belt (condition, splice)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Bin (cyl., valve, skirts, liner)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Tail (pulley, take-ups, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Drive (motor, reducer, belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Head (pulley, bearings)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
Chute (liners, vibrators)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
RAP Crusher
Drive (motor, belts, sheaves)
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Is there a visual risk/problem?
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Problems:
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Date Repaired
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Employee Name: