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GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Chain [ ] Worn-out [ ] Damaged
2.3 Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.3 Chain [ ] Worn-out [ ] Damaged
2.4 Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged [ ] Missing
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Belts & Pulleys [ ] Worn-out [ ] Damaged
2.4 Chain & Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Pulleys [ ] Worn-out [ ] Damaged
2.4 Belts [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Wiring Harness [ ] Damaged
2.2 Switches [ ] Damaged [ ] Poor Response
2.3 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Saw blade [ ] Damaged [ ] Worn-out
4.2 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.3 Guards/Covers [ ] Damaged [ ] Missing
4.4 Equipment ID Plate [ ] Damaged [ ] Missing
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Cooling Fan [ ] Impeller Damaged
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
2.2 Wiring Harness [ ] Damaged
2.3 Switches [ ] Damaged [ ] Poor Response
2.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
3 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
3.1 Hoses and Connections [ ] Damaged [ ] Leaked
3.2 Actuators [ ] Damaged [ ] Worn-out
3.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Cooling Fan [ ] Impeller Damaged
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
2.2 Wiring Harness [ ] Damaged
2.3 Switches [ ] Damaged [ ] Poor Response
2.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
3 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
3.1 Hoses and Connections [ ] Damaged [ ] Leaked
3.2 Actuators [ ] Damaged [ ] Worn-out
3.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
4 OTHERS
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Gear System [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 HYDRAULIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
4.1 Hoses and Connections [ ] Damaged [ ] Leaked
4.2 Actuators [ ] Damaged [ ] Worn-out
4.3 Filter [ ] Damaged [ ] Leaked
4.4 Hydraulic tank [ ] HI [ ] LOW [ ] Damaged [ ] Leaked
5 VACUUM GENERATOR [ ] Leaked
5.1 Impeller [ ] Worn-out [ ] Corroded
5.2 Shaft [ ] Bent [ ] Corroded
5.3 Bearings [ ] Worn-out [ ] Excessive Noise
5.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
5.5 Plumbing/Piping [ ] Damaged [ ] Corroded [ ] Leaked
5.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
6 OTHERS
6.1 Guards/Covers [ ] Damaged [ ] Missing
6.2 Equipment ID Plate [ ] Damaged [ ] Missing
6.3 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Gear System [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 VACUUM GENERATOR [ ] Leaked
4.1 Impeller [ ] Worn-out [ ] Corroded
4.2 Shaft [ ] Bent [ ] Corroded
4.3 Bearings [ ] Worn-out [ ] Excessive Noise
4.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
4.5 Plumbing/Piping [ ] Damaged [ ] Corroded [ ] Leaked
4.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.3 Belts and Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.3 Belts and Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Belts and Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Chopper Blade [ ] Worn-out [ ] Damaged [ ] Cracked
4.4 Chopper Bowl [ ] Corroded [ ] Damaged [ ] Cracked
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Belts and Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 HYDRAULIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
4.1 Hoses and Connections [ ] Damaged [ ] Leaked
4.2 Actuators [ ] Damaged [ ] Worn-out
4.3 Filter [ ] Damaged [ ] Leaked
4.4 Hydraulic tank [ ] HI [ ] LOW [ ] Damaged [ ] Leaked
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Chopper Blade [ ] Worn-out [ ] Damaged [ ] Cracked
5.4 Chopper Bowl [ ] Corroded [ ] Damaged [ ] Cracked
5.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Bushings [ ] Worn-out [ ] Damaged
2.4 Belts and Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 HYDRAULIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
4.1 Hoses and Connections [ ] Damaged [ ] Leaked
4.2 Actuators [ ] Damaged [ ] Worn-out
4.3 Filter [ ] Damaged [ ] Leaked
4.4 Hydraulic tank [ ] HI [ ] LOW [ ] Damaged [ ] Leaked
5 PUMP SYSTEM [ ] Leaked
5.1 Impeller [ ] Worn-out [ ] Corroded
5.2 Shaft [ ] Bent [ ] Corroded
5.3 Bearings [ ] Worn-out [ ] Excessive Noise
5.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
5.5 Plumbing/Piping [ ] Damaged [ ] Corroded [ ] Leaked
5.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
2.2 Wiring Harness [ ] Damaged
2.3 Sensors [ ] Damaged [ ] Poor Response
2.4 Switches [ ] Damaged [ ] Poor Response
2.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
3 OTHERS
3.1 Guards/Covers [ ] Damaged [ ] Missing
3.2 Equipment ID Plate [ ] Damaged [ ] Missing
3.3 Stuffing Vanes [ ] Damaged [ ] Worn-out
3.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
3.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Wiring Harness [ ] Damaged
1.3 Sensors [ ] Damaged [ ] Poor Response
1.4 Switches [ ] Damaged [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
3 OTHERS
3.1 Guards/Covers [ ] Damaged [ ] Missing
3.2 Equipment ID Plate [ ] Damaged [ ] Missing
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Wiring Harness [ ] Damaged
1.3 Sensors [ ] Damaged [ ] Poor Response
1.4 Switches [ ] Damaged [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
3 OTHERS
3.1 Guards/Covers [ ] Damaged [ ] Missing
3.2 Equipment ID Plate [ ] Damaged [ ] Missing
3.3 Anvil and Plunger [ ] Damaged [ ] Worn-out
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Hoses and Connections [ ] Damaged [ ] Leaked
1.3 Actuators [ ] Damaged [ ] Worn-out
1.4 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2 OTHERS
2.1 Guards/Covers [ ] Damaged [ ] Missing
2.2 Equipment ID Plate [ ] Damaged [ ] Missing
2.3 Anvil and Plunger [ ] Damaged [ ] Worn-out
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Hoses and Connections [ ] Damaged [ ] Leaked
1.3 Actuators [ ] Damaged [ ] Worn-out
1.4 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2 OTHERS
2.1 Guards/Covers [ ] Damaged [ ] Missing
2.2 Equipment ID Plate [ ] Damaged [ ] Missing
2.3 Anvil and Plunger [ ] Damaged [ ] Worn-out
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Hoses and Connections [ ] Damaged [ ] Leaked
1.3 Actuators [ ] Damaged [ ] Worn-out
1.4 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2 OTHERS
2.1 Guards/Covers [ ] Damaged [ ] Missing
2.2 Equipment ID Plate [ ] Damaged [ ] Missing
2.3 Anvil and Plunger [ ] Damaged [ ] Worn-out
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
4.1 Hoses and Connections [ ] Damaged [ ] Leaked
4.2 Actuators [ ] Damaged [ ] Worn-out
4.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
2.4 Bushings [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Vanes [ ] Damaged [ ] Worn-out
4.4 Orifice Plate [ ] Damaged [ ] Worn-out
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
EQUIPMENT
CONTINUOUS STUFFER DATE OF INSPECTION:
DESCRIPTION:
LOCATION: Processing DOCUMENT NO: PMCI-EMD-FRM-024
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for
R For Repair RP Replacement inspected item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
2.4 Bushings [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
4.1 Hoses and Connections [ ] Damaged [ ] Leaked
4.2 Actuators [ ] Damaged [ ] Worn-out
4.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyors [ ] Damaged [ ] Worn-out
5.4 Gauges [ ] Worn-out [ ] Damage
5.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
2.4 Bushings [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Pump Vanes [ ] Worn-out [ ] Damage
4.2 Pump Casing [ ] Worn-out [ ] Damage
4.3 Guards/Covers [ ] Damaged [ ] Missing
4.4 Equipment ID Plate [ ] Damaged [ ] Missing
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 VACUUM GENERATOR [ ] Leaked
2.1 Impeller [ ] Worn-out [ ] Corroded
2.2 Shaft [ ] Bent [ ] Corroded
2.3 Bearings [ ] Worn-out [ ] Excessive Noise
2.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
2.5 Plumbing/Piping [ ] Damaged [ ] Corroded [ ] Leaked
2.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Link Arm and Follower [ ] Damaged [ ] Worn-out
4.2 Guards/Covers [ ] Damaged [ ] Missing
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
2.2 Wiring Harness [ ] Damaged
2.3 Switches [ ] Damaged [ ] Poor Response
2.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
3 OTHERS
3.1 Guards/Covers [ ] Damaged [ ] Missing
3.2 Equipment ID Plate [ ] Damaged [ ] Missing
3.3 Link Arm and Follower [ ] Damaged [ ] Worn-out
3.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
3.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.3 Wiring Harness [ ] Damaged
1.4 Sensors [ ] Damaged [ ] Poor Response
1.5 Switches [ ] Damaged [ ] Poor Response
1.6 Emergency Shutdown [ ] Inoperative [ ] Poor Response
1.7 Control Module [ ] Damaged [ ] Poor Response [ ] Inoperative
2 OTHERS
2.1 Guards/Covers [ ] Damaged [ ] Missing
2.2 Conveyors [ ] Worn-out [ ] Damaged
2.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
2.4 Equipment ID Plate [ ] Damaged [ ] Missing
2.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Wiring Harness [ ] Damaged
1.3 Sensors [ ] Damaged [ ] Poor Response
1.4 Switches [ ] Damaged [ ] Poor Response
1.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2.4 Gauges [ ] Damaged [ ] Missing
3 OTHERS
3.1 Guards/Covers [ ] Damaged [ ] Missing
3.2 Equipment ID Plate [ ] Damaged [ ] Missing
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Bushings [ ] Worn-out [ ] Damaged
2.4 Belts and Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
3.6 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 HYDRAULIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
4.1 Hoses and Connections [ ] Damaged [ ] Leaked
4.2 Actuators [ ] Damaged [ ] Worn-out
4.3 Filter [ ] Damaged [ ] Leaked
4.4 Hydraulic tank [ ] HI [ ] LOW [ ] Damaged [ ] Leaked
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyor [ ] Damaged [ ] Worn-out
5.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
5.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Pulleys [ ] Worn-out [ ] Damaged
2.3 Belts [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Chains and Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Chains [ ] Worn-out [ ] Damaged
2.4 Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Chains and Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Chains and Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
3.6 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Heating Elements [ ] Damaged [ ] Corroded
4.5 Plumbing Works [ ] Corroded [ ] Damaged [ ] Cracked
4.6 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Chains [ ] Worn-out [ ] Damaged
2.4 Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Fans and Blowers [ ] Damaged [ ] Unusual Vibration [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Sprocket [ ] Worn-out [ ] Damaged
2.3 Chains [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Fans and Blowers [ ] Damaged [ ] Unusual Vibration [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
3.6 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Plumbing Works [ ] Corroded [ ] Damaged [ ] Cracked
4.6 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.3 Fans and Blowers [ ] Damaged [ ] Poor Response [ ] Inoperative
1.4 Wiring Harness [ ] Damaged
1.5 Sensors [ ] Damaged [ ] Poor Response
1.6 Switches [ ] Damaged [ ] Poor Response
1.7 Emergency Shutdown [ ] Inoperative [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2.4 Gauges [ ] Damaged [ ] Missing
3 SMOKE GENERATOR [ ] Damaged [ ] Inoperative
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Heaters [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
4 OTHERS
4.1 Doors/Covers [ ] Damaged [ ] Missing
4.2 Plumbing Works [ ] Damaged [ ] Leaked
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.3 Fans and Blowers [ ] Damaged [ ] Poor Response [ ] Inoperative
1.4 Wiring Harness [ ] Damaged
1.5 Sensors [ ] Damaged [ ] Poor Response
1.6 Switches [ ] Damaged [ ] Poor Response
1.7 Emergency Shutdown [ ] Inoperative [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2.4 Gauges [ ] Damaged [ ] Missing
3 SMOKE GENERATOR [ ] Damaged [ ] Inoperative
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Heaters [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
4 OTHERS
4.1 Doors/Covers [ ] Damaged [ ] Missing
4.2 Plumbing Works [ ] Damaged [ ] Leaked
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.3 Fans and Blowers [ ] Damaged [ ] Poor Response [ ] Inoperative
1.4 Wiring Harness [ ] Damaged
1.5 Sensors [ ] Damaged [ ] Poor Response
1.6 Switches [ ] Damaged [ ] Poor Response
1.7 Emergency Shutdown [ ] Inoperative [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2.4 Gauges [ ] Damaged [ ] Missing
3 SMOKE GENERATOR [ ] Damaged [ ] Inoperative
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Heaters [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
4 OTHERS
4.1 Doors/Covers [ ] Damaged [ ] Missing
4.2 Plumbing Works [ ] Damaged [ ] Leaked
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.3 Fans and Blowers [ ] Damaged [ ] Poor Response [ ] Inoperative
1.4 Wiring Harness [ ] Damaged
1.5 Sensors [ ] Damaged [ ] Poor Response
1.6 Switches [ ] Damaged [ ] Poor Response
1.7 Emergency Shutdown [ ] Inoperative [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2.4 Gauges [ ] Damaged [ ] Missing
3 SMOKE GENERATOR [ ] Damaged [ ] Inoperative
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Heaters [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
4 OTHERS
4.1 Doors/Covers [ ] Damaged [ ] Missing
4.2 Plumbing Works [ ] Damaged [ ] Leaked
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
EQUIPMENT DESCRIPTION: SMOKE HOUSE DATE OF INSPECTION:
LOCATION: Cooking Area DOCUMENT NO: PMCI-EMD-FRM-042
MAKE/MODEL: VEMAG ID NO: SMK-SMH-005
CHECKLIST
Legend Note:
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.3 Fans and Blowers [ ] Damaged [ ] Poor Response [ ] Inoperative
1.4 Wiring Harness [ ] Damaged
1.5 Sensors [ ] Damaged [ ] Poor Response
1.6 Switches [ ] Damaged [ ] Poor Response
1.7 Emergency Shutdown [ ] Inoperative [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2.4 Gauges [ ] Damaged [ ] Missing
3 SMOKE GENERATOR [ ] Damaged [ ] Inoperative
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Heaters [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
4 OTHERS
4.1 Doors/Covers [ ] Damaged [ ] Missing
4.2 Plumbing Works [ ] Damaged [ ] Leaked
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.2 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.3 Fans and Blowers [ ] Damaged [ ] Poor Response [ ] Inoperative
1.4 Wiring Harness [ ] Damaged
1.5 Sensors [ ] Damaged [ ] Poor Response
1.6 Switches [ ] Damaged [ ] Poor Response
1.7 Emergency Shutdown [ ] Inoperative [ ] Poor Response
2 PNUEMATIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
2.1 Hoses and Connections [ ] Damaged [ ] Leaked
2.2 Actuators [ ] Damaged [ ] Worn-out
2.3 Filter Regulator Lubricator [ ] Damaged [ ] Inoperative
2.4 Gauges [ ] Damaged [ ] Missing
3 SMOKE GENERATOR [ ] Damaged [ ] Inoperative
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Heaters [ ] Damaged [ ] Poor Response [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
4 OTHERS
4.1 Doors/Covers [ ] Damaged [ ] Missing
4.2 Plumbing Works [ ] Damaged [ ] Leaked
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1.6 Plumbing Works [ ] Corroded [ ] Damaged [ ] Leaked
1.6 Valves and Accessories [ ] Corroded [ ] Damaged [ ] Leaked
1.3 Equipment ID Plate [ ] Damaged [ ] Missing
1.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1.6 Plumbing Works [ ] Corroded [ ] Damaged [ ] Leaked
1.6 Valves and Accessories [ ] Corroded [ ] Damaged [ ] Leaked
1.3 Equipment ID Plate [ ] Damaged [ ] Missing
1.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1.6 Plumbing Works [ ] Corroded [ ] Damaged [ ] Leaked
1.6 Valves and Accessories [ ] Corroded [ ] Damaged [ ] Leaked
1.3 Equipment ID Plate [ ] Damaged [ ] Missing
1.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1.6 Plumbing Works [ ] Corroded [ ] Damaged [ ] Leaked
1.6 Valves and Accessories [ ] Corroded [ ] Damaged [ ] Leaked
1.3 Equipment ID Plate [ ] Damaged [ ] Missing
1.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for
R For Repair RP Replacement inspected item.
1 MOTORS [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
2.2 Wiring Harness [ ] Damaged
2.3 Sensors [ ] Damaged [ ] Poor Response
2.4 Switches [ ] Damaged [ ] Poor Response
2.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
3 PUMP SYSTEM [ ] Leaked
3.1 Impeller [ ] Worn-out [ ] Corroded
3.2 Shaft [ ] Bent [ ] Corroded
3.3 Bearings [ ] Worn-out [ ] Excessive Noise
3.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
3.5 Plumbing/Piping [ ] Damaged [ ] Corroded [ ] Leaked
3.6 Pressure Gauges [ ] Damaged [ ] Poor Response [ ] Inoperative
4 OTHERS
4.1 Doors/Covers [ ] Damaged [ ] Missing
4.2 Plumbing Works [ ] Damaged [ ] Leaked
4.3 Equipment ID Plate [ ] Damaged [ ] Missing
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
REMARKS:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.3 Belts [ ] Worn-out [ ] Damaged
2.4 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Rollers [ ] Damaged [ ] Worn-out
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.3 Belts [ ] Worn-out [ ] Damaged
2.4 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Rollers [ ] Damaged [ ] Worn-out
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.3 Belts [ ] Worn-out [ ] Damaged
2.4 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Rollers [ ] Damaged [ ] Worn-out
4.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Bearings [ ] Worn-out [ ] Excessive Noise
1.5 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Chain [ ] Worn-out [ ] Damaged
2.3 Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Bearings [ ] Worn-out [ ] Excessive Noise
1.5 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Chain [ ] Worn-out [ ] Damaged
2.3 Sprocket [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.4 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.5 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Gears [ ] Worn-out [ ] Damaged
2.3 Belts [ ] Worn-out [ ] Damaged
2.4 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.4 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.5 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Gears [ ] Worn-out [ ] Damaged
2.3 Belts [ ] Worn-out [ ] Damaged
2.4 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Gears [ ] Worn-out [ ] Damaged
2.3 Belts [ ] Worn-out [ ] Damaged
2.4 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyor [ ] Damaged [ ] Worn-out
4.4 Heaters [ ] Worn-out [ ] Damaged
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.4 Belts [ ] Worn-out [ ] Damaged
2.5 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PUMP SYSTEM [ ] Leaked
4.1 Impeller [ ] Worn-out [ ] Corroded
4.2 Shaft [ ] Bent [ ] Corroded
4.3 Bearings [ ] Worn-out [ ] Excessive Noise
4.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
4.5 Hose Lines [ ] Damaged [ ] Leaked
4.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyor [ ] Worn-out [ ] Damaged
5.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.4 Belts [ ] Worn-out [ ] Damaged
2.5 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PUMP SYSTEM [ ] Leaked
4.1 Impeller [ ] Worn-out [ ] Corroded
4.2 Shaft [ ] Bent [ ] Corroded
4.3 Bearings [ ] Worn-out [ ] Excessive Noise
4.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
4.5 Hose Lines [ ] Damaged [ ] Leaked
4.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyor [ ] Worn-out [ ] Damaged
5.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.4 Belts [ ] Worn-out [ ] Damaged
2.5 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PUMP SYSTEM [ ] Leaked
4.1 Impeller [ ] Worn-out [ ] Corroded
4.2 Shaft [ ] Bent [ ] Corroded
4.3 Bearings [ ] Worn-out [ ] Excessive Noise
4.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
4.5 Hose Lines [ ] Damaged [ ] Leaked
4.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyor [ ] Worn-out [ ] Damaged
5.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.4 Belts [ ] Worn-out [ ] Damaged
2.5 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PUMP SYSTEM [ ] Leaked
4.1 Impeller [ ] Worn-out [ ] Corroded
4.2 Shaft [ ] Bent [ ] Corroded
4.3 Bearings [ ] Worn-out [ ] Excessive Noise
4.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
4.5 Hose Lines [ ] Damaged [ ] Leaked
4.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyor [ ] Worn-out [ ] Damaged
5.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.4 Belts [ ] Worn-out [ ] Damaged
2.5 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PUMP SYSTEM [ ] Leaked
4.1 Impeller [ ] Worn-out [ ] Corroded
4.2 Shaft [ ] Bent [ ] Corroded
4.3 Bearings [ ] Worn-out [ ] Excessive Noise
4.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
4.5 Hose Lines [ ] Damaged [ ] Leaked
4.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyor [ ] Worn-out [ ] Damaged
5.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
2.3 Link Arm and Follower [ ] Worn-out [ ] Damaged
2.4 Belts [ ] Worn-out [ ] Damaged
2.5 Pulleys [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 PUMP SYSTEM [ ] Leaked
4.1 Impeller [ ] Worn-out [ ] Corroded
4.2 Shaft [ ] Bent [ ] Corroded
4.3 Bearings [ ] Worn-out [ ] Excessive Noise
4.4 Pump Body [ ] Damaged [ ] Corroded [ ] Leaked
4.5 Hose Lines [ ] Damaged [ ] Leaked
4.6 Pressure Gauge [ ] Damaged [ ] Poor Response [ ] Inoperative
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Conveyor [ ] Worn-out [ ] Damaged
5.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Wiring Harness [ ] Damaged
1.3 Sensors [ ] Damaged [ ] Poor Response
1.4 Switches [ ] Damaged [ ] Poor Response
1.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
1.6 Control Module [ ] Damaged [ ] Poor Response [ ] Inoperative
2 OTHERS
2.1 Guards/Covers [ ] Damaged [ ] Missing
2.2 Conveyors [ ] Worn-out [ ] Damaged
2.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
2.4 Equipment ID Plate [ ] Damaged [ ] Missing
2.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 ELECTRICAL SYSTEM [ ] Shorted
1.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
1.2 Wiring Harness [ ] Damaged
1.3 Sensors [ ] Damaged [ ] Poor Response
1.4 Switches [ ] Damaged [ ] Poor Response
1.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
1.6 Control Module [ ] Damaged [ ] Poor Response [ ] Inoperative
2 OTHERS
2.1 Guards/Covers [ ] Damaged [ ] Missing
2.2 Conveyors [ ] Worn-out [ ] Damaged
2.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
2.4 Equipment ID Plate [ ] Damaged [ ] Missing
2.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
4 OTHERS
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Oil Level [ ] HI [ ] LOW
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 HYDRAULIC SYSTEM [ ] Damaged [ ] Poor Response [ ] Inoperative
4.1 Hoses and Connections [ ] Damaged [ ] Leaked
4.2 Actuators [ ] Damaged [ ] Worn-out
4.3 Filter [ ] Damaged [ ] Leaked
4.4 Hydraulic tank [ ] HI [ ] LOW [ ] Damaged [ ] Leaked
5 OTHERS
5.1 Guards/Covers [ ] Damaged [ ] Missing
5.2 Equipment ID Plate [ ] Damaged [ ] Missing
5.3 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
5.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Wiring Harness [ ] Damaged
2.2 Switches [ ] Damaged [ ] Poor Response
3 OTHERS
3.1 Guards/Covers [ ] Damaged [ ] Missing
3.2 Equipment ID Plate [ ] Damaged [ ] Missing
3.3 Link Arm and Follower [ ] Damaged [ ] Worn-out
3.4 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.2 Sprocket [ ] Worn-out [ ] Damaged
2.3 Chains [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Fans and Blowers [ ] Damaged [ ] Unusual Vibration [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Sensors [ ] Damaged [ ] Poor Response
3.5 Switches [ ] Damaged [ ] Poor Response
3.6 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Plumbing Works [ ] Corroded [ ] Damaged [ ] Cracked
4.6 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Wiring Harness [ ] Damaged
2.2 Sensors [ ] Damaged [ ] Poor Response
2.3 Switches [ ] Damaged [ ] Poor Response
2.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
3 OTHERS
3.1 Cutter Blade [ ] Damaged [ ] Worn-out
3.2 Rollers [ ] Damaged [ ] Worn-out
3.3 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
3.4 Guards/Covers [ ] Damaged [ ] Missing
3.5 Equipment ID Plate [ ] Damaged [ ] Missing
3.6 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.2 Power Connection/Terminals [ ] Damaged
1.3 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.4 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.5 Drive Shaft [ ] Worn-out [ ] Damaged
1.6 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.7 Cooling Fan [ ] Impeller Damaged
2 ELECTRICAL SYSTEM [ ] Shorted
2.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
2.2 Wiring Harness [ ] Damaged
2.3 Sensors [ ] Damaged [ ] Poor Response
2.4 Switches [ ] Damaged [ ] Poor Response
2.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
3 OTHERS
3.1 Guards/Covers [ ] Damaged [ ] Missing
3.2 Equipment ID Plate [ ] Damaged [ ] Missing
3.3 Stuffing Vanes [ ] Damaged [ ] Worn-out
3.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
3.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
2.3 Chains [ ] Worn-out [ ] Damaged
2.4 Sprockets [ ] Worn-out [ ] Damaged
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Pneumatic System [ ] Damaged [ ] Poor Response [ ] Inoperative
4.4 Plumbing Works [ ] Damaged [ ] Leaked
4.5 Heating Elements [ ] Damaged [ ] Inoperative
4.6 Conveyors [ ] Damaged [ ] Worn-out
4.7 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.8 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Sensors [ ] Damaged [ ] Poor Response
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Plumbing Works [ ] Damaged [ ] Leaked
4.4 Heating Elements [ ] Damaged [ ] Inoperative
4.5 Conveyors [ ] Damaged [ ] Worn-out
4.6 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.7 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Fans and Blowers [ ] Damaged [ ] Unusual Vibration [ ] Inoperative
3.3 Wiring Harness [ ] Damaged
3.4 Switches [ ] Damaged [ ] Poor Response
3.5 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Conveyors [ ] Damaged [ ] Worn-out
4.4 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.5 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE:
THE PACIFIC MEAT COMPANY INC.
Lot 7 Block 7 LIIP Avenue, Laguna International Industrial Park Mamplasan,
Biñan Laguna, Philippines 4024
GENERAL INFORMATION
Condition
Required
Conditions: Complete the column
Action
Satisfactory X Needs Attention below by ticking
SI Description
appropriate box
Action Required:
accordingly for inspected
R For Repair RP Replacement item.
1 MOTOR [ ] Excessive noise [ ] Unusual Vibration [ ] Unusual Temp.
1.1 Power Connection/Terminals [ ] Damaged
1.2 Motor Casing [ ] Corroded [ ] Excessive noise [ ] Cracked
1.3 Mountings [ ] Corroded [ ] Missing Bolts [ ] LHS [ ] RHS Qty.
1.4 Drive Shaft [ ] Worn-out [ ] Damaged
1.5 Bearing Assemblies [ ] Worn-out [ ] Excessive Noise
1.6 Cooling Fan [ ] Impeller Damaged
2 POWER TRANSMISSION [ ] Excessive noise [ ] Unusual Vibration [ ] Leaked
2.1 Shaft [ ] Bent [ ] Corroded
3 ELECTRICAL SYSTEM [ ] Shorted
3.1 Warning and Control Devices [ ] Damaged [ ] Poor Response [ ] Inoperative
3.2 Wiring Harness [ ] Damaged
3.3 Switches [ ] Damaged [ ] Poor Response
3.4 Emergency Shutdown [ ] Inoperative [ ] Poor Response
4 OTHERS
4.1 Guards/Covers [ ] Damaged [ ] Missing
4.2 Equipment ID Plate [ ] Damaged [ ] Missing
4.3 Plumbing Works [ ] Damaged [ ] Leaked
4.4 Heating Elements [ ] Damaged [ ] Inoperative
4.5 Conveyors [ ] Damaged [ ] Worn-out
4.6 Bearing Assemblies [ ] Worn-out [ ] Excessive noise
4.7 Equipment Structure/Frame [ ] Corroded [ ] Damaged [ ] Cracked
Additional Remarks:
NAME: NAME:
SIGNATURE: SIGNATURE:
DATE: DATE: