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START-UP REPORT FOR
ELECTRIC MOTOR DRIVEN PUMPS
This form is designed to provide assurance that customer service and a quality product are the number one
priority with Crane Pumps & Systems, Inc. Please fi ll out the following questions as completely and accurate as
possible. When complete, mail this form to:
In U.S.A Send To: In Canada Send To:
Crane Pumps & Systems, Inc Crane Pumps & Systems, Inc.
Attn: Warranty Service Group Attn: Service Manager
420 Third Street 83 West Drive, Brampton
Piqua, Ohio 45356 Ontario, Canada L6T 2J6
REPORTS THAT ARE NOT RETURNED CAN DELAY OR VOID WARRANTY.
Pump Owner’s Name:
Address:
Location of Installation
Person in Charge Phone
Purchased From (Crane Pumps & Systems Representative/Distributor
Pump Model Serial No.
Part Number
Rotation: Direction of impeller rotation (Use C/W for clockwise, CC/W for counter-clockwise)
Does shaft turn freely by hand: Yes No
Electric Motor Manufacture Serial No.
Voltage Phase Hertz HP
RPM Full Load Amps Locked Rotor Amps
Frame Size ODP TEFC Other
Check Line Voltage Frequency: Yes No
Check Phase Yes No
Does above data agree with nameplate? Yes No
Type of Drive: Flex Coupling V-Belt Other
List sizes, types & models:
Condition of Equipment: Good Fair Poor
Condition of Equipment at Start-Up: Dry Wet Muddy
Was Equipment Stored: Length of Storage
Describe station layout
Diffi culties during Start-Up
Liquid being pumped
Debris in bottom of station?
Was debris removed in your presence
(Over)
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