COMMISSIONING INSPECTION,

CHECK AND TEST

Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

1. CHECK LIST COMPONENT

No Component specification Installed/ Condition Remarks

Not OK /Not
installed OK
1. Drive Unit

1.1 Motor  

1.2 Gearbox  

1.3 Coupling  

Hi speed coupling

Low Speed coupling

2. PULLEY
Brand : …..
2.1 Drive Pulley Dim :    See : DWG-M-…..
Lagging : …….
Brand : …..
2.2 Snub pulley Dim : See : DWG-M-…..
Lagging : …….
Brand : …..
2.3 Tail Pulley Dim : See : DWG-M-…..
Lagging : …….
       

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 1 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

No Component specification Installed/ Condition Remarks

Not OK /Not
installed OK

3. IDLERS

See : DWG-M-…..
3.1 Impact idler

See : DWG-M-…..
3.2 Carry idler

See : DWG-M-…..
3.3 Return idler

See : DWG-M-…..
3.4 Self carry idler

See : DWG-M-…..
3.5 Self return idler

Brand : Bando CV – 02 : 55 meter

BW : 1400, Grade : M Cv – 03 :216 meter
4. BELT EP …… x 4 ply x 6 x 3
Length :21 meter

Executed by : ……….
4.1 Splicing Joint Hot Splicing
No Component specification Installed/ Condition Remarks
Not OK /Not
installed OK

5. CLEANING DEVICES

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 2 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

Brand Martin
5.1 Primery Belt Cleaner Type :

Secondary Belt Brand Martin

5.2 Type :
Cleaner
Brand Martin
5.3 V Scraper Type :

CHUTES & GUIDE

6.
BOARD (skirt)
Hardox : Fora 400
6.1 Liner

6.2 Skirt Board

Natural rubber Shore…..

6.3 Rubber Skirt

1. DRIVE UNITS Temperatur ( ˚C ) Condition Remarks

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 3 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

Input Output OK /Not OK

1.1 Motor       Time for Checking :  

1.2 Gearbox       Time load :  

1.3 Fluid Coupling       Load :  

1.4 Oil leak Gear box          

1.5 Oil leakfluid coupling          

Temperatur ( ˚C ) Condition
2. PULLEY Fixed Floating Remarks
Bearing Bearing OK /Not OK
2.1 Drive Pulley          

2.2 Snub pulley          

2.3 Tail Pulley          

Inspection Result
FUNCTION AND VISUAL
Notes and Observations
CHECK OK NOT OK

3. IDLERS            
3.1 Carry idler            
3.2 Return idler            

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 4 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

3.3 Self carry idler            

3.4 Self return idler            
4. BELT            
4.1 Aligment            
4.2 Tension            
4.3 Splicing Joint            
5. CLEANING DEVICES            
5.1 Primery Belt Cleaner            
Secondary Belt
5.2            
Cleaner
5.3 V Scraper            
CHUTES & GUIDE
6.            
BOARD
6.1 Material Flow            
6.2 Skirt Board            

2. COMMISSIONING
2.1. IDLER
A. CONVEYOR DATA

BELT WIDTH : 1400 mm BELT SPEED : m/s DESIGN CAP. : 600 TPH
BELT TYPE : EP320, CLASS M x 4 Plies

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 5 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

B. IDLER DATA

MANUFACTURE : PT. SUPRABHAKTI SUPPLIER : PT. SUPRABHAKTI

SPACIN
DESCRIPTIO
NO QTY ANGLE ROLLER DIA ROLLER LENGTH G
N
(nos) (mm) LEFT CENTER RIGHT (mm)
1 CARRY 36 0 127       200
2 RETURN 3 0 127       1500

Remarks:
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................

C. INSPECTION, CHECK, AND TEST

NO. DESCRIPTION YES NO REMARKS

1. Are all idlers in place
2. Have all idlers been installed correctly
3. Have all idlers been checked for centerality
4. Have all idlers been correctly aligned
5. Is there any obvious damage
6. Are all idlers frame securely bolted to the stringer / panels
7. Have all idlers been checked for elevation
8. Have all idlers been correctly seating in frames
When conveyor is started (Load 100%), have all idlers roller
9.
been check rotation? Any unusual vibration or noise?

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 6 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

Remarks:
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 7 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

D. FIGURE

LS RS LS R
S

Drive/Head Drive/He
Pulley
C/L Pulley ad Pulley

C/L Idler Frame

Trough Idler Trough
Idler
FIGURE 1A. TAIL PULLEY FIGURE 1B. DRIVE/HEAD PULLEY

Remarks:
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................

2.2 PULLEY

A. CONVEYOR DATA

BELT WIDTH : 1400 mm BELT SPEED : m/s DESIGN CAP. : 600 TPH
BELT TYPE : EP 320, Class M x 4 Plies

B. PULLEY DATA

MANUFACTURE : PT. SUPRABHAKTI SUPPLIER : PT. SUPRABHAKTI

INSPECTED, CHECKED, AND TESTED BY :
-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 8 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

DIAMETER WIDTH LAGGING THICKNESS

NO. DESCRIPTION PART NO
(mm) (mm) TYPE (mm)
1. TAIL 418 1550 RUBBER
2. DRIVE 560 1550 CERAMIC
3. SNUB 350 1550 RUBBER

Remarks:
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
C. INSPECTION, CHECK, AND TEST

NO. DESCRIPTION YES NO REMARKS

1. Are locating rings correctly installed in fixed bearing
2. Are Pulley centerline on centerline of conveyor Fig. 2
3. Are pulley axis in horizontally level
4. Are Trust wedge in place
Are running clearance between shaft or rotating labyrinth
5. Fig. 1A & 1B
and housing
6. Are floating bearing centrally located in housing
7. Are pulley axis correctly aligned 90O to belt centerline Fig. 3
8. Are bearing support thrust block on loaded side housing
9. Are adjustment bolt and lock nut tightened

Remarks:................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
INSPECTED, CHECKED, AND TESTED BY :
-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 9 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

D. FIGURE

GAP

BELT TRAVEL DIRECTION

LHS
FIGURE 1A.
GAP

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 10 / 19
RHS
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

BELT TRAVEL DIRECTION

FIGURE 1B.

CONVEYOR C/L

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 11 / 19 FIGURE 2.Center line

 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

PULLEY SHAFT

FIGURE 3. Elevation

E. COMMISSIONING CHECK

NO. DESCRIPTION YES NO REMARKS

1. Are installation complete
2. Are Pulley to shaft connection tight
3. Are holding down and alignment bolt tight
4. Are Pulley free of foreign material
5. Are Pulley clear of adjacent steel works
6. Are any damage observed
7. Are pulley rotates freely
8. Are pulley checked for any abnormal operation when

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 12 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

conveyor run unloaded and loaded

9. Are needed to touch up painting

Bearing Temperature No Load (OC) Load (OC) Remarks

No
(Running time in minute) LHS RHS LHS RHS

Remarks: .............................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
.................

2.3 Fabric CONVEYOR BELT SPLICE

A. SPLICE
Date of splice made ............................................... Date of Manufacturer ..................................................
Jointing kit supplied by .......................................... Type of wire splice used ..............................................
Length ....................... M Angle .......................... o

B. AMBIENT CONDITION
Hot .................. Warm ...................... Moderate .................... Cool ....................... Cold ......................
Site shaded ? ............................................................. Dust blowing ...............................................................
Remarks .............................................................................................................................................................
..............................................................................................................................................................................
C. CURING
INSPECTED, CHECKED, AND TESTED BY :
-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 13 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

Pressure ......................................................... kPa Curling time ....................................................... min

Temperature .................................................. oCooling time ......................................................min

Remarks on splice finish (porosity, variation in thickness, bubles, bulges, etc):

...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................

D. ALIGNMENT
The most important feature of the join apart from its strength is the alignment. Alignment must be check
both at the start of splice preparation and just before curing starts:
Length over which allignment checked .................... m
Alignment check must be done over three belt width or one splice length each side of the extrimles at the
splice, whichever is longest.

Remarks:
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................

2.4 COUPLING

Description Drive side (Pin Side) Driven Side (Hole Side)

Bore Diameter mm mm
Key Way mm mm
Key mm mm
INSPECTED, CHECKED, AND TESTED BY :
-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 14 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

A. Alignment
Both the drive and driven shafts are to be rotated together to each position at which reading are taken, for
axial and angular alignment

B. Axial Alignment
Readings taken with indicator bottom on:
Driver : ................................................................. Driven : ...............................................................................

Indicate which side is set lower

Driver : ................................................................. Driven : ...............................................................................

C. Pre-Commissioning
Check for any damage .......................................... Is installation complete ? ....................................................
Are installation and connecting bolt tight ? .......... Does coupling assembly rotate freely by hand ? ................
Is adequate guard securely fitted ? ....................... Is coupling free of foreign material ? .................................

D. Commissioning
Abnormal feature when coupling accelerated and decelerated under no load and loaded conditionings .........
...............................................................................................................................................................................
Remarks ...............................................................................................................................................................
...............................................................................................................................................................................

2.5 GEAR BOX

A. Pre-Commissioning
Coupling securely fitted ...................................... Coupling filled with oil type & grade .................................
Oil fill angle ............................................ Degrees Oil fill quantity ...................................................................
Oil level correct ................................................... Coupling free to rotate ......................................................

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 15 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

Design transmitted torque .......................... %FLT Coupling gap .............................................................. mm

Driver free from driven ......................................... Adequately guard securely fastened .................................

B. COMMISSIONING CHECK

NO. DESCRIPTION YES NO REMARKS

1. Are installation complete
2. Are Gearbox to shaft connection tight
3. Are holding down and alignment bolt tight
4. Are Gearbox free from foreign material
5. Are Gearbox clear of adjacent steel works
6. Are any damage observed
7. Are Gearbox rotates freely
Are Gearbox checked for any abnormal operation when
8.
conveyor run unloaded and loaded
9. Are needed to touch up painting

2.6 MOTOR (see in Electrical sheet for commissioning)

3. Commissioning system when running full load

3.1. Capacity calculation

V belt : ……….. m/s
Rpm drive pulley : …….. rpm

No Description Weight (kg) durasi Capacity Remark

Gross Empty Net. (s) (TPH)
INSPECTED, CHECKED, AND TESTED BY :
-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 16 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

weight Weight Weight

1 Test # 1

2 Test # 2

3.2. Temperature

No Duration Temperature Remark

(Running time in (OC)
hour) Gear box motor

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 17 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

Remarks/any finding
: ........................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
...........................................................................................................................................

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 18 / 19
 COMMISSIONING INSPECTION,
CHECK AND TEST
Purpose 1. Assembly Inspection 2. Installation/Erection Inspection 3. Witness of Final Test
LOCATION : DOC. NO. :
PROJECT : REPORT NO. :
DATE : DWG REF. NO. :
ITEM : STATUS : 1. COMPLETED 2. INCOMPLETED

INSPECTED, CHECKED, AND TESTED BY :

-----------------------------------------------------------------
RESULT : 1. ACCEPTED 2. ACCEPTED WITH COMMENT 3. REJECTED

PRESENT : PT. AGM PT. MT

NAME :

SIGNATURE :

Page 19 / 19