Siemens Medallion 1200 Instruction Manual Page 32

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Motor Service Record
Serial No
______________________
Horsepower
______________
Type
___________
Speed
________
Volts
_____________
Amperes
_____________
Hertz
_______
Insulation Class
_______
Temperature Rise
_______
°C
Frame Size
____________
Owner Order No
_________________
Item No
_____
Date Of Manufacture
_________
MACHINE TYPE
BEARINGS
SHAFT EXTENSION
Horizontal
Vertical
Open Drip-Proof
Totally-Enclosed
Weather Protected
Ball Roller Sleeve
Size:
Drive End (DE) _____________________
Opposite Drive End (ODE) ____________
Lubrication ___________________________
Length ___________________
Diameter _________________
Internal Thread ____________
External Thread ____________
Keyway __________________
Date
Installed
Location Application
Date Repaired
or Replaced
Repairs or Parts Replaced
(1)
Fault
Repaired
by
Total
Cost
(1)
Name of Part
No. Per
Motor
Siemens No. Date
Qty
Repl.
Cost Date
Qty
Repl.
Cost
Rotor
Stator Coils
Bearing, DE
Bearing, ODE
Other
INSPECTION
Date Checked
Bearings
Lubrication
Excess Heat
Excess Noise
Speed
Voltage
Amps
Insulation
Clean
Alignment
Vibration
Temperature
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