Industrial Conveyor Belt Maintenance Report

General Information

Date of Inspection Inspector Name Location/Line

Conveyor Information

Conveyor Belt ID/Number Manufacturer/Model Belt Length Belt Width

Inspection Checklist

Item	Status	Remarks
Belt condition (tears, wear, alignment)
Rollers/Idlers
Pulleys
Motor and Drive
Tension/Sag
Lubrication points
Cleanliness
Guards/Safety Devices

Observations

Corrective Actions Needed

Parts Replaced / Repairs Done

Additional Notes

Inspector Signature