Grain Auger Discharge Spout Inspection Form
Complete this form to document the inspection of a grain auger discharge spout. Please provide accurate details for each inspection item.
Inspector Full Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment ID or Location
*
Physical Condition of Spout
*
Excellent
Good
Fair
Poor
Other
Check for Wear or Damage
*
No visible wear or damage
Minor wear (monitor)
Significant wear/damage (repair needed)
Cleanliness of Discharge Spout
*
Clean
Some residue present
Requires cleaning
Condition of Safety Guards
*
All guards secure and intact
Guards loose or missing (repair required)
Fasteners and Connections
*
All fasteners tight
Some fasteners loose (tighten needed)
Lubrication Status
*
Lubricated
Needs lubrication
Additional Comments or Notes
Submit Inspection
Should be Empty: