AC SINGLE/THREE PHASE MOTOR INSPECTION REPORT

JOB NO. RECEIVING NOTE# DATE:

CUSTOMER DETAILS TYPE OF MACHINE

COMPANY NAME  AC MOTOR  DC MOTOR  COMPRESSOR
CONTACT NAME  STATOR  ROTOR  COIL
MOB#  PUMP  FAN / IMPELLER  GENERATOR

NAMEPLATE DATA
MANUFACTURER TYPE/CATALOG NO MODEL/STYLE/SPEC SERIAL NUMBER

POWER RPM VOLTS AMPS DUTY HZ AMBIENT °C WEIGHT

INCOMING INSPECTION
ITEM OK D M ITEM OK D M
FRAME NAMEPLATE
DRIVE END SHIELD MALE ROTOR
NON-DRIVE END SHIELD FEMALE ROTOR
TERMINAL BOX SLIDER
TERMINAL BOX COVER OIL FILTER
LEADS OTHERS (SPECIFY)
BEARINGS OTHERS (SPECIFY)
EYE BOLTS OTHERS (SPECIFY)
LEGEND: OK - GOOD CONDITION; D - DAMAGED; M - MISSING (INDICATE QUANTITY IF MORE THAN ONE)

ELECTRICAL TEST
TYPE OF TEST STATOR WOUND ROTOR

INSULATION RESISTANCE MΩ at VDC MΩ at VDC

WINDING RESISTANCE Ω φ1-2 φ2-3 φ1-3 φ1-2 φ2-3 φ1-3

POLARITY TEST  OK  NOT OK  OK  NOT OK

SURGE TEST VAC  OK  NOT OK VAC  OK  NOT OK

NO-LOAD RUN TEST

APPLICABLE  YES  NO HORIZONTAL VERTICAL AXIAL BALANCE REQUIRED WINDING REQUIRED

DE YES NO STATOR  YES  NO

VIBRATION READINGS
NDE   ROTOR  YES  NO

VOLTS AMPS φ1 φ2 φ3 SHAFT END PLAY

ONYX EQUIPMENT MAINTENANCE EST

ALI BIN ABI TALIB ROAD, ALFAISALIYAH
RIYADH - 12882, KINGDOM OF SAUDI ARABIA
MOBILE: +966 501 524 528 | EMAIL: INFO@ONYX-ALJAZA.COM
 AC SINGLE/THREE PHASE MOTOR INSPECTION REPORT - CONT'D.
JOB NO.

MECHANICAL TEST
ITEM 1 2 3 4 5
BEARING TYPE
BEARING NUMBER
BRG JOURNAL DIAMETER
BRG HOUSING BORE DIA.
BRG CONDITION
OTHERS:

CAUSE OF FAILURE

WORK REQUIRED
ELECTRICAL MECHANICAL

--- NOTHING FOLLOWS ---

ONYX EQUIPMENT MAINTENANCE EST

ALI BIN ABI TALIB ROAD, ALFAISALIYAH
RIYADH - 12882, KINGDOM OF SAUDI ARABIA
MOBILE: +966 501 524 528 | EMAIL: INFO@ONYX-ALJAZA.COM