Gorman-Rupp Pumps SM4G1-X30 460/3 1002211 thru 1241783 - Manual (Page 7)

OM−04417 SM SERIES
PAGE B − 2 INSTALLATION
GORMAN−RUPP MSHA PUMP INSPECTION FORM
INSPECTOR____________________________ DATE____________
MODEL NO.____________________________ SERIAL NO.____________
UNIT ELECTRICAL RATING:
H.P.________, VOLTS________, PUMP AMPS________, HERTZ________
STARTER X/P NO: XP3026−1 (CONTROL WITHOUT FLOAT)
OR
18−XPA040007−0 (CONTROL WITH FLOAT)
MOTOR CABLE:
___No. 12; 7 Conductor; Type SPC; .89 + .03 O.D.; Heavy Jacketed; Royal – MSHA 122;
___No. 8; 9 Conductor; Type SPC; 1.05 + .03 O.D.; Heavy Jacketed; Royal – MSHA 122;
___No. 6; 9 Conductor; Type SPC; 1.25 + .04 O.D.; Heavy Jacketed, Royal – MSHA 122;
Length______________________
ITEM AREA OF INSPECTION ACC. REJ. CORRECTED
1. Are lockwashers (or equivalent) provided for all explo-
sion proof enclosure fastenings?
2. Are all plane joints securely fastened so that a .005−inch
feeler gauge cannot be inserted?
3. Is motor plug secured with lock clip?
4. Are all electrical connections secure?
5. Are all electrical connections insulated where necessary
and per appropriate drawing?
6. Are packing glands properly packed so that 1/8−inch
clearance remains between packaging nut and stuffing
box?
7. Are packing nut and cable grip secured with lock wire and
lead seal?
8. Was pump leak tested?
9. Was pump and control electrically tested?
10. Was pump water tested?
11. Are pump, cable, and control assembled together properly
per appropriate drawing?
Comments:
NOTE: Fill out form completely and “rejections” must be corrected and re−inspected. Inspector must
initial and date when corrective action was taken. 10/9/87
Form CD GL−02128 Rev 6/05
Doc# 152708
This form not to be revised
without approval of MSHA.