You can spin the accessories by hand and "feel" for a bad bearing. Visual inspection of the belt drive rubber damper on the crank AND the Harmonic damper on the crank is a good idea. Chunks missing or cracking is BAD. Get a new GM parts as Dorman is a short life crankshaft buster. The vacuum pump is known to lock up and throw belts.
Aftermarket fan ... How do you feel about sending some random "Not enough CFM" fan to the scrapyard along with the blown engine it didn't cool? It's bad enough the early years OEM 6 blade fan and useless clutch was sent to the scrapyard by the dealer under warranty often...
Electric fans are AC booster fans: They do not move enough air alone to keep a 6.5TD cool, PERIOD. 10,000 CFM isn't enough: I tested a 10,000 CFM 19" clutch fan fan from something else that didn't have enough blade pitch and ran hot towing a load to Lake Havasu.
Fans that work are the Duramax fan and the 1998+ 9 blade steel fan. Without going crazy the Kennedy Diesel low temp clutch is the best upgrade you can do. You didn't say what year yours is, but, a spin on water pump solves a balance flow issue with the passenger side of the engine running hotter.
If your fan clutch is over 5 years old: it's done. They loose 200 RPM per year and are End Of Life at 5 years old and 1000 fan RPM down.
Cooling and MPG. A bigger turbo that isn't so restrictive will reduce the amount of heat trapped in the engine, amount the fan runs at 75 MPH, and increase MPG.
In depth here. Several other turbo's are now out there since I published that article.