Remote Bearing Vibration Monitoring Inspection Form
Checklist for remote inspection of bearing vibration and related operating conditions.
Equipment ID or Name
*
Inspector Name
*
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Bearing Location / Component
*
Please Select
Drive End
Non-Drive End
Intermediate Bearing
Fan
Gearbox
Other
Monitoring Method Used
*
Accelerometer
Ultrasound
Temperature Sensor
Online Monitoring System
Other
Vibration Condition Assessment
*
Rows
Excellent
Good
Fair
Poor
Overall Vibration
1
2
3
4
Bearing Noise
5
6
7
8
Temperature
9
10
11
12
Observed Symptoms (select all that apply)
*
Increased Vibration
Unusual Noise
Temperature Rise
Oil Discoloration
Physical Damage
No Abnormality
Other
Operating Status During Inspection
*
Normal Operation
Idle
Startup
Shutdown
Under Maintenance
Severity / Priority Level
*
Low
1
2
3
4
Critical
5
1 is Low, 5 is Critical
Corrective Action or Remarks
Submit Inspection
Should be Empty: