CONVEYOR BELT INSPECTION REPORT

November
Company: PT. KARYA PUTERA SUPLINDO Site PT. SEMEN JAWA - SCG Date Time 08.00 AM
2017

Name of
Inspector Wisnu Dipa Nugraha Assistant 1 Dayat Assistant 2

Instructions for personnel completing this inspection:

 This inspection is to be completed weekly.
 A minimum of 2 persons are to conduct the inspection.
 Complete the checklist below by ticking/marking the applicable score (Y, N, N/A) for each item.
 Write the Complete details of the problem identified in the column suggestion space provided.
 Assign a colour risk level for each problem findings using the matrix below.
 Complete details such as name, date and signature in the space provided.
 Return the completed form to the (Maintenance dept, Area Manager, Safety Dept, etc) for corrective actions to be assigned.

AREA ID: LINE CONV Plant

CEMENT MILL AREA
BELT ID: G1J06 Location:
SUKABUMI

Base from the Hierarchy of Color Risk Level,

PARAMETER COLOUR RISK LEVEL the action of repair or replacement parts
should be conducted to minimize and/or
eliminate the worst problem at the future.
All Parts is running well and no
NO ACTION
problem was observed
Start at No. 1 and work down the order.
1. NO ACTION
Some Parts was observed have
some minor problem – Keep MONITOR 2. MONITOR
Monitoring daily
3. PLAN MAINTENANCE 4 WEEKS
Some Parts was observed have
minor problem and should be 4. PLAN MAINTENANCE 2 WEEKS
PLAN MAINTENANCE 4 WEEKS
planned to maintain / repair during 5. IMMEDIATE ACTION
period 4 weeks
Some parts was observed have major
problem and should be planned to
PLAN MAINTENANCE 2 WEEKS
maintain / repair / replace during
period 2 weeks
Worst Damage / Major problem was
observed and should be planned to
IMMEDIATE ACTION
maintain / repair / replace as soon as
possible

Page 1 of 9
Document No: PTKPS/ST/TECHNICAL
Revision: Final
Issued: JAN 2017
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : Y N N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

1. BELT CLEANER
A. PRIMARY CLEANER

Worn out at Blade cleaners Primary blade cleaner is normally worn out / abrasive (Monitoring) Photo 1

Have extra fugitive material -

Missing Blade Cleaner -

Not Installed -

B. SECONDARY CLEANER

Worn out at Blade cleaners Secondary blade cleaner is normally worn out /abrasive (Monitoring) Photo 2

Have extra fugitive material -

Missing Blade Cleaner -

Not Installed -

C. V CLEANER

1. Tail pulley Area

Worn out at Blade cleaners Rubber V cleaner is normally worn out (Monitoring) Photo 3

Missing Blade Cleaner -

Not Installed -

2. Bend pulley Area

Worn out at Blade cleaners Rubber V cleaner is normally worn out (Monitoring) Photo 4

Missing Blade Cleaner -

Not Installed -

Page 2 of 9
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: JAN 2017
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : Y N N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

2. CHUTE AREA
Have extra fugitive material Good condition

Corrosion was observed around chute wall Good condition

There are some hole at the chute wall Good condition

Material spillage was observed from the Good condition

chute wall

3. SKIRTING AREA
Skirt Rubber was abrasion Rubber skirt is worn out at ride side (Schedule to replace rubber skirt) Photo 5

Plat skirt not properly Installed -

No Skirt Rubber Installed -

End Skirt Good condition Photo 6

4. TENSIONING DEVICES

Tensioning Devices not properly adjusted Good condition

Have extra Fugitive Material -

5. PULLEYS

A. TAIL PULLEY

No Lagging Installed -

Rubber Lagging was worn out Rubber lagging tail pulley is normally worn out (Monitoring) Photo 7

Rubber Lagging was peeled off -

Caked Material was observed at tail pulley Many caked materials at tail pulley (To Clean up material) Photo 7

B. HEAD PULLEY / DRIVE PULLEY

Page 3 of 9
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: JAN 2017
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : Y N N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

5. PULLEYS

No Lagging Installed -

Rubber Lagging was worn out Rubber lagging is normally worn out (Monitoring) Photo 8

Rubber Lagging was peeled off -

Caked Material was observed at head pulley -

C. SNUB PULLEY

No Lagging Installed -

Rubber Lagging was worn out Rubber lagging is normally worn out (Monitoring) Photo 9

Rubber Lagging was peeled off -

Caked Material was observed at snub pulley Many caked material at snub pulley (To clean up material) Photo 9

D. BEND PULLEY

1. Bend Pulley 01

No Lagging Installed Good condition Photo 10

Rubber Lagging was worn out Good condition

Rubber Lagging was peeled off Good condition

Caked Material was observed at snub pulley Good condition

2. Bend Pulley 02

No Lagging Installed Good condition

Rubber Lagging was worn out Good condition Photo 11

Rubber Lagging was peeled off Good condition

Caked Material was observed at snub pulley Good condition

Page 4 of 9
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: JAN 2017
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : Y N N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

5. PULLEYS

3. TAKE UP PULLEY

No Lagging Installed Good condition

Rubber Lagging was worn out Good condition

Rubber Lagging was peeled off Good condition

Caked Material was observed at snub pulley Good condition

6. SPILLAGE MATERIAL
Spillage material was observed at the left Good condition
side conveyor belt
Spillage material was observed at the right Good condition
side of conveyor belt
Spillage material was observed under skirt Good condition
area

7. IDLERS / ROLLER

Carry Roller Good condition

Return Roller Good condition

Impact Roller Good condition

Carrier Self-Alignment Roller Many self alignment is stuck (Schedule to replace) Photo 12

Return Self-Alignment Roller Many self alignment is stuck (Schedule to replace) Photo 13

8. CONVEYOR BELT DETAILS

Page 5 of 9
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: JAN 2017
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : Y N N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

8. CONVEYOR BELT DETAILS

A. ABRASION
Scratch line on the top cover belt, top cover worn out
1. TOP COVER (monitoring)
Photo 14

2. BOTTOM COVER Bottom cover is worn out (Schedule to replace belt) Photo 15

3. UNDER SKIRT Worn out / abrasion

B. CUT

1. TOP COVER Good condition

2. BOTTOM COVER Good condition

C. CRACK

1. TOP COVER Good condition

2. BOTTOM COVER Bottom cover belt is crack 2 point (Schedule to replace belt) Photo 16

D. SEPARATION

1. TOP COVER Good condition

2. BOTTOM COVER Good condition

E. LONGITUDINAL DAMAGE

1. TOP COVER Good condition

2. BOTTOM COVER Good condition

F. EDGE DAMAGE

Good condition
1. LEFT SIDE
-

2. RIGHT SIDE Good condition

Page 6 of 9
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: JAN 2017
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : Y N N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

8. CONVEYOR BELT DETAILS

G. CARCASS SEPARATION

1. TOP COVER Good condition

2. BOTTOM COVER Good condition

H. BELT MISTRACKING / SWAY

1. TAIL AREA Good condition

2. HEAD AREA Good condition

9. JOINT DETAILS ( 1 Joint )

A. JOINT 1 HOT JOINT

1. CRACK Top cover joint is bubble (Schedule to replace belt) Photo 17

2. PEELED OFF Monitoring Photo 18

3. SEPARATION

4. ABRASION

Page 7 of 9
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: JAN 2017
 CONVEYOR BELT INSPECTION REPORT

PHOTO GALERIES

Photo 1. Primary cleaner is normally Photo 2..Secondary cleaner is normally Photo 3. Rubber V cleaner tail pulley Photo 4 Rubber V cleaner bend pulley
worn out worn out area is normally worn out area is normally worn out

Photo 5. Rubber skirt is worn out at Photo 6. Rubber end skirt in good Photo 7. Many caked material at tail Photo 8. Rubber lagging worn out at
right side condition pulley right and left side

Photo 9. Many caked material at snub Photo 10. Many caked material at snub Photo 11. Many caked material at area Photo 12.. Carrier self alignment is
pulley pulley bend pulley 1 stuck
 CONVEYOR BELT INSPECTION REPORT

Photo 13. Return self alignment is Photo 14 . Scratch line only the top cover Photo 16. Bottom cover belt is crack 2
Photo 15. Bottom cover is worn out
stuck belt point

Photo 17. Top cover joint is bubble Photo 18. Monitoring