Useful for inspecting equipment, and automatically graphing the variable results. The grpah upper and lower limits will change automatically by changing the figures highlighted in blue.

1. Doc. No. :
Rev. :
Logo Name of company Tel : Rev date :
Address Tel : Page : 1 of 1
E-mail Tel :
Web address
ITEM
Client :
Building ref. :
Area served :
Equipment :
Model :
Equipment asset
no. (serial no.) :
Equipment 2 :
Model 2 :
Equipment asset
no. (serial no.) 2 :
Single or dual :
VISIT 1 VISIT 2 VISIT 3 VISIT 4
Safety permit required ?
Job complete ?
Engineer
Date of visit
SPEC. RESULTS
ITEM NO. TASK UNITS Visit 1 Visit 2 Visit 3 Visit 4
Min. Max.
Unit 1 Unit 2 Unit 1 Unit 2 Unit 1 Unit 2 Unit 1 Unit 2
1 - see note ok ? -
2 -see note Check and record current 10 Amps
3 Check and record pressure 4 8 Bar
4 Check and record second pressure 5 9 Bar
5 Condition ? -
NOTES
1 For item 1, the check should include : bearings, casing, seals, flanges
For item 2, if the motor is 3 phase, note the average reading of the 3 phases. If
2 any individual phase is showing an abnormal reading, this should be noted in
the comments section.
A Compare - filters, bearings, and belts against the spares list
B Notify the office if anything on the spares list needs to be updated.
VISIT 1 -
comments :
VISIT 2 -
comments :
VISIT 3 -
comments :
VISIT 4 -
comments :
2 - Current - UNIT 1 3 - Pressure - UNIT 1 4 - Second pressure - UNIT 1
12 10 10
10 8 8
8 6 6
BAR
BAR
AMPS
6 4 4
4 2 2
2 0 0
Column G Column H Column I Column J Column L Column M Column N Column O
0
Row 80 Row 80 Row 81 Row 80 Row 81
Column B Column C Column D Column E
2 - Current - UNIT 2 3 - Pressure - UNIT 2 4 - Second pressure - UNIT 2
12 10 10
10 8 8
8 6 6
BAR
BAR
AMPS
6 4 4
2 2
4
0 0
2
Column G Column H Column I Column J Column L Column M Column N Column O
0
Row 80 Row 80 Row 81 Row 80 Row 81
Column B Column C Column D Column E
10 10 10 10 4 4 4 4 5 5 5 5
8 8 8 8 9 9 9 9