Title Page

  • Conducted On:

  • Inspected Plant:

  • Employees Performing Inspection:

Feeders

Belts

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Tail (pulley, take-ups, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, reducer, belts, sheaves)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Head (pulley, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Conveyors

Belts (condition, splice)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Idlers (troughing, return)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Tail (pulley, take-ups, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, reducer, belts, sheaves)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Head (pulley, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Screen

Bearings (leaks, etc.)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, sheaves, belts)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Exhauster

Drive (motor, sheaves, belts)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Bearings

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Dryer

Vibrators

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Trunions (condition, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, shv/spr, belts/chains)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Burner

Valves (gas, oil, air)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, belts, drive motor)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Air Compressor

Drive (motor, coupling, air end)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Filters (air, oil, separator, leaks)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Air Dryer

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Baghouse

Drive (motor, reducer, belts, sheaves)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Bearings (tail, hard iron)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Rotary Valve

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Actuators

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Inclined Screws

Drive (motor, reducer, belts, sheaves)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Bearings (tail, hard iron)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

A/C System

Pump Drive (motor, reducer, belts, sheaves)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Oil Heater (motor, valves, controls)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Hot Oil Pumps (motor, coupling)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Silos

Batchers (cyl., valves, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Gates (cyl., valves, oilers, seals)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Transfer Slatt

Drive (motor, shv/spr, coup, belt/chain)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Tail (sprocket, bearings, shaft)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Head (red., sprocket, bearings, shaft)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Main Slatt

Drive (motor, shv/spr, coup, belt/chain)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Tail (sprocket, bearings, shaft)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Head (red., sprocket, bearings, shaft)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

RAP Main Bin

Belts (condition, splice)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Tail (pulley, take-ups, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, reducer, belts, sheaves)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Head (pulley, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Bin (gate, skirts, vibrator, air cannon)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

RAP Conveyors

Belts (condition, splice)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Idlers (troughing, return)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Tail (pulley, take-ups, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, reducer, belts, sheaves)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Head (pulley, bearings)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

RAP Conveyors

Bearings (leaks, etc.)

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Drive (motor, sheaves, belts)

  • Is there a visual risk/problem?

  • Date Repaired

  • Problems

Screen Cloth

  • Is there a visual risk/problem?

  • Problems

  • Date Repaired

Clean out truck

  • Is the truck body clean?

  • Problems

  • Date Repaired

  • Employee Name:

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.