Inspection & Test Record

for Alignment of Belt-driven Rotating

Equipment
Client:

Subcontractor:

Project No.:

Subcontract P.O. No.:

Project Name:

Additional information:

P.O. No.:

Vendor:

Reference Document:

Items to inspect

Subcontractor
inspected
initials/date

1.0

Company
Hold
Point

Record No.:

Remarks

inspected*
initials/date

Pulley alignment
Feeler gauge/straight edge on pulley faces

Straight edge
A1

A2

A3

View from top

A1 ................................................1/100
A2 ..................................................1/100
A3 ..................................................1/100
A4 ..................................................1/100

2.0

A4

mm
mm
mm
mm

Belt tension

Adjust C to vendors recommendation

C.........................................mm

H - Companys presence is mandatory for all activities in section.

Attachments, No. of pages:

h - Companys presence is mandatory.

Accepted for Subcontractor

Name:

Signature:
Date:

Accepted for Company

Name:

Signature:

Date:

Accepted for Client

Name:

Signature:

Date:

* Company only initials for holdpoint

C:\RB_Forms\RB26P03.DOT\

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