Information

  • Equipment Description

  • Equipment Number

  • Project Name

  • Project Number

  • Conducted on

  • Prepared by

Phase I - Mechanical Checkout

  • Equipment installed/ anchored down?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Equipment properly aligned?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Motor installed?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Drive belts tensioned?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Drive filled with oil?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Check motor rotation?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Mechanical piping complete?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Wiring complete?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • PFD check - verify flow?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • P&ID check - instruments installed?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Safety guards in place?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • E-stop function?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

Phase II - Dry Run

  • Duration of inspection?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Belt training?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Metal detection?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Alignment?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • All fluids, lubricants verified full?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Touch-up paint, grind welds, covers, seals, inspection hatches, etc?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Full clean out?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

  • Safety systems?

  • Checked by?

  • Select date

  • Re-checked by?

  • Select date

  • Remarks

Signatures

  • Weitz Representative

  • Owner Representative

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.