INSTRUCTIONSANDNOTESTOSELLER

1. Complete and return this form as specifiedin the equipment Purchase Order.
2. Submrt revisions and/or addrtions on this form and check the
box provided at right
3. If addrtional sheets are requrted, use continuation form.

KNPC

FINERYPROJECTLUBRICATIONDATASHEET
PAGE

OF

This is a revision to previously submitted data

P O. NO.:
EQUIPMENT
SUPPLIER:
PREPARED BY:
DATE:
D

AB C
Descrtptlon of Equipment or
Dnver Part Requiring Lubrication
Equipment
r.>
LUBRICANT

RECOMMENDED LUBRICANT

EF G

LUBRICANT QUANTITY

Viscosity per

PourorSealed

TAG No
(When apphcab!e, list motor rating,
0.

Manufacturer'sBrandISO Vise
Prelubod
by
0

speed and frame stze, also state

or ltom No

Initial Qty

Period between

Estimated

Part Manufacturer

Drop

Flash

>-

part or motor manufacturer)

0:

>SUS till
Point
Mfar

or Trade Name and Number

"'

Grade or

to FILL

Chanoe or Aool

Use

Point

" ' '-'

"'

Ow

0:
0

0:

i3

!List all Alternates)

NLGI Grd.
(Liters)
(Hours)

!Lrters/Yrl

37.s c

oo e c

('Cl

l'Cl

INSTRUCTIONS

YesNo

Ye

No

g<

CROSSREFERENCETOEQUIPMENTITEMNo.(ColumnK)

A - List each Tag No and corresponding parts and motor 1ntormat1on such as bearings, common lube
system,tramelcyhnders, gears,reservo,rs. etc that pertains to referenced P.O Number

KNOTESANDATIACHMENTSDetailedlubricationrequirements

B Total number of Identical units covered by part or motor description.

C - A separatehne entry isrequired for eachdifferent lubricant type Place checkmark to indicate lubricant type.
D - Provide complete nomenclature tor proper Identification of lubricant characteristics. Alternate lubricants should be bted by referencing them to Column "K".
E - Units of measure. Volume I (liters) or ml (milU-lrters), Weight g (grams), Time h (hours). mo (month),
yr (year)
lnftlal Qty. to fill: Indicate holding capacrty of unit
Pencd between change/application- Based on normal operations. Special break-in requirements are to be listed 1n Column "K"
Estimated use Wnta "nir' or "O" consumption 1s negligible.
F - Show viscosity at both temperatures listed G Pour point!Of 011; droppmg point for grease.
H - Column may beused for other than flash point rt properly Identified
I - Check "yes"rt equipment ,spre-lubed and requires na initial lubncation in field
J - Checl< "yes" if equipment 1s factory sealed and requires no field lubrication.
K - Provide additional details and explanations when required by referencing notes in Section "K",
e g additives/thickeners required, FLUSHING requirements, special conditions, break-in procedures, common lube system details. to identify attachments. to list attemate lubricants, etc
t'4UUl NKt"'.00. 10.2.012

EF G

hments. to list attemate lubricants, etc

H I