CONVEYOR BELT INSPECTION REPORT

Company: PT. KARYA PUTERA SUPLINDO Site PT. SEMEN JAWA - SCG Date 04 JULI 2018 Time 08.00 AM

Name of
Inspector Joko Priyanto Assistant 1 Ikhwan 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 coloum 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

MINNING AREA A1 – J07 SUKABUMI
BELT ID: Location:

Base from the Hierarchy of Color Risk Level,

PARAMETER COLOR 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 8
Document No: PTKPS/ST/TECHNICAL
Revision: Final
Issued: 01 OCT 2016
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : YES NO N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

1. BELT CLEANER
A. PRIMARY CLEANER

Worn out at Blade cleaners Monitoring (07-01-18) Photo 1

Have extra fugitive material Monitoring Photo 2

Missing Blade Cleaner Monitoring

Not Installed

B. SECONDARY CLEANER

Worn out at Blade cleaners Monitoring (07-01-18) Photo 3

Have extra fugitive material Monitoring Photo 4

Missing Blade Cleaner Monitoring

Not Installed

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 Monitoring Photo 5

Plat skirt not properly Installed Good condition

No Skirt Rubber Installed Good condition

Page 2 of 8
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: 01 OCT 2016
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : YES NO N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

4. TENSIONING DEVICES

Tensioning Devices not properly adjusted Monitoring

Have extra Fugitive Material Monitoring

5. PULLEYS

A. TAIL PULLEY No Rubber Lagging

No Lagging Installed Good Condition Photo 6

Rubber Lagging was worn out Good Condition

Rubber Lagging was peeled off Good Condition

Caked Material was observed at tail pulley Good Condition

B. HEAD PULLEY / DRIVE PULLEY

No Lagging Installed Good Condition Photo 7

Rubber Lagging was worn out Good Condition

Rubber Lagging was peeled off Good Condition

Caked Material was observed at head pulley Good Condition

C. BEND PULLEY / TAKE UP

PULLEY
No Lagging Installed

Rubber Lagging was worn out

Rubber Lagging was peeled off

Caked Material was observed at head pulley

No roof protector at take up pulley

Page 3 of 8
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: 01 OCT 2016
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : YES NO N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

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 Clean up material (1day off crusher time 18:00-19:00)
area

7. IDLERS / ROLLER

Carry Roller 2 pcs not good condition ( replace ) Photo 8

Return Roller Replace return tipe sepiral Photo 9

Impact Roller 6 pcs not good condition ( replace ) Photo 10

Carrier Self-Alignment Roller Monitoring

Return Self-Alignment Roller Monitoring

8. CONVEYOR BELT DETAILS

A. ABRASION

1. TOP COVER Monitoring Photo 11

2. BOTTOM COVER Monitoring

3. UNDER SKIRT Monitoring

B. CUT

1. TOP COVER Monitoring (install magnetic separator)

2. BOTTOM COVER Monitoring

C. CRACK

1. TOP COVER Monitoring

Page 4 of 8
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: 01 OCT 2016
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : YES NO N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

8. CONVEYOR BELT DETAILS

2. BOTTOM COVER Monitoring Photo 12

D. SEPARATION

1. TOP COVER Monitoring

2. BOTTOM COVER Monitoring

E. LONGITUDINAL DAMAGE

1. TOP COVER Monitoring

2. BOTTOM COVER Monitoring

F. EDGE DAMAGE

1. LEFT SIDE Monitoring

2. RIGHT SIDE Monitoring

G. CARCASS SEPARATION

TOP COVER Monitoring

BOTTOM COVER Monitoring

H. BELT MISTRACKING / SWAY

TAIL AREA Monitoring

HEAD AREA Monitoring

Page 5 of 8
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: 01 OCT 2016
 CONVEYOR BELT INSPECTION REPORT
RISK
INSPECTION ITEMS : YES NO N/A DESCRIPTION &SUGGESTION PHOTO (if required)
LEVEL

9. JOINT DETAILS

A. JOINT 1 HOT JOINT

1. CRACK Monitoring Photo 13

2. PELEED OFF Monitoring

3. SEPARATION Monitoring

4. ABRASION Monitoring

Page 6 of 8
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: 01 OCT 2016
 CONVEYOR BELT INSPECTION REPORT

PHOTO GALERIES

Photo 1. Blade primary scraper good Photo 2. Recoumendation install air Photo 3. Blade secondary scraper good Photo 4. Lagging head pulley good
condition compresor tail pulley area (clean up condition condition
material tail pulley area)

Photo 5.rubber skirt good condition Photo 6.joint top good condition Photo 7. Joint bottom good condition Photo 8. Top cover good condition

Page 7 of 8
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: 01 OCT 2016
 CONVEYOR BELT INSPECTION REPORT

Photo 9.v-cleaner good condition Photo 10. impact area not good Photo 11.replace carry roller no 7 Photo 12.blade impact bad abnormal
condition(clean up material impact area (schedule replace blade impact bad)
one week or stop production 18:00)

Photo 13. Replace impact roller no 3 Photo 14. impact area not good Photo 14.problem belt peel off (plate
condition(clean up material impact area cover elevator and plate trancor)
one week or stop production 18:00)

Page 8 of 8
Document No: PTKPS/ST/TECHNICAL
Revision: FINAL
Issued: 01 OCT 2016