ELECTRIC WATER PUMP INSPECTION CHECKLIST

SECTION A – TYPE OF INSPECTION

□ RENTAL □ SALES □ RETURN □ OTHERS: _____________________________________________________________________________
SECTION B – EQUIPMENT DATA
EQUIPMENT CODE MODEL CABLE SIZE CABLE LENGTH

INSPECTION LOCATION CURRENT HOURMETER READING LAST SERVICE HOURMETER READING

SECTION C – EQUIPMENT EXTERNAL DAMAGE RECORD

FRONT
SECTION

LEFT
SECTION

REAR
SECTION

RIGHT
SECTION

TOP
SECTION

BOTTOM
SECTION

GOOD CONDITION - G SATISFACTORY CONDITION - S REQUIRES IMMEDIATE REPAIR – R

SECTION D – EQUIPMENT IDENTIFICATION NOTES SECTION F – MISCELLANEOUS NOTES
EQUIPMENT CODE G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
SECTION E – EQUIPMENT INTERNAL NOTES G S R
SUCTION COVER G S R G S R
IMPELLER G S R G S R
MECH. SEAL OIL QUALITY G S R G S R
MECH. SEAL OIL G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
G S R G S R
SECTION G – ELECTRIC WATER PUMP LOAD TEST RESULTS
VOLTAGE ROTATION INSULATION A1 A2 A3

SECTION H – CONCLUSIONS
□ EQUIPMENT READY FOR DEPLOYMENT □ EQUIPMENT REQUIRE ADDITIONAL LOAD TEST □ EQUIPMENT REQUIRE IMMEDIATE REPAIR
SECTION I – INSPECTOR DETAILS
INSPECTION PERFORM BY: INSPECTION CHECKLIST CHECKED BY:

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NAME DATE NAME DATE

QP-IT-F09/Rev01