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Conveyor Belt Quarterly Inspection

Quarterly condition assessment: belt, rollers, pulleys, drives, safety devices and structure

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Conveyor & Inspector Details

Quarterly Inspection Items

Mark the applicable column for each item: P = Pass  |  F = Fail  |  N/A = Not applicable. Record notes for any F.

# Check P F N/A Notes / Action
Belt Condition
1Top cover: no cuts, gouges, heat damage or surface cracking
2Bottom cover: no excessive wear from roller contact
3Belt edges: no fraying, folding or damage from mistracking
4Belt thickness: measured at head, mid-span and tail (record mm in notes)
5Delamination: no separation of cover from carcass
Splices
6Vulcanised splices: no separation, edge lifting, cracking or exposed cords
7Mechanical splices: all fasteners intact, no missing clips or plates
8Number and location of splices recorded
Rollers & Idlers
9Carry rollers: spin freely, no seizure, noise or excessive play
10Return rollers: spin freely, no seizure, noise or material build-up
11Impact rollers (at load zone): condition acceptable, rubber intact
12Self-aligning / training idlers: functioning correctly
13Number of seized / damaged / missing rollers recorded per section
Pulleys
14Head pulley: lagging condition, no delamination or wear-through
15Tail pulley: condition acceptable, no material build-up or damage
16Snub pulleys: condition acceptable, bearings in good order
17Pulley bearings: temperature normal, no abnormal noise or vibration
18Pulley alignment: pulleys square to belt, no mistracking caused by pulleys
Conveyor Quarterly Inspection - Page 2 of 2
Conveyor #
Date
Inspector
# Check P F N/A Notes / Action
Drive System
19Drive motor: runs smoothly, no overheating, vibration or unusual noise
20Gearbox: oil level correct, no leaks, no abnormal noise
21Coupling: alignment correct, no wear or damage
22Backstop / holdback device: functional, no slippage
Belt Tracking & Tensioning
23Belt tracks centrally along full length
24Take-up travel: sufficient range remaining
25Gravity take-up / counterweight: position and condition acceptable
26Belt tension: correct, no slippage on drive pulley
Safety Devices (functional test each)
27Pull-cord (emergency stop) switches: tested full length, all functional
28Belt drift switches (head and tail): trigger correctly on belt misalignment
29Speed sensor / zero-speed switch: triggers alarm on belt under-speed or stop
30Blocked chute detector: triggers alarm when chute is blocked
31Belt rip detection system: sensors operational (if fitted)
32Pre-start alarm (audible and visual): operates correctly
Structure, Guards & Transfer Points
33Stringers and support frames: no cracks, corrosion or deformation
34Walkways and handrails: secure, in good condition
35Guards and covers: in place at head, tail, nip points and drive
36Chute liners: intact, no wear-through or material build-up
37Impact beds (load zone): condition acceptable, absorbing impact
38Skirt rubber: effective seal, no excessive spillage
39Dust suppression system (if fitted): operational
40Belt cleaners / scrapers: effective, correctly adjusted
Overall Result
PASS: all items satisfactory, conveyor fit for service FAIL: defect(s) identified, see table below

Defects & Action Required (list any item marked F: reference item # from checklist)

Item # Defect description Action taken / reported to Rectified by / date

Declaration

I declare that I have completed this quarterly conveyor belt inspection thoroughly and accurately. I have recorded all findings, including belt thickness measurements and roller counts, and reported any defects or safety concerns to the maintenance supervisor. The conveyor will not be returned to service until any faults affecting safety or belt integrity have been rectified. I understand that failure to complete inspections or report defects may breach company policy and WHS obligations.

Inspector Sign-off
Signature
Print name
Date & time
Maintenance Supervisor Acknowledgement
Signature
Print name
Date