Bennett 3712 - Audit Form

83
120001 Rev K 1-19-18
Dispenser mode being used - Stand Alone Current Loop Pulse Output RS-485
Type of Interface Box being used if dispensers are connected to POS?
Third party interface system being used (Brand and Model)?
Site Phone Number
Site Name
Site Address
City State Zip
Owned by
Equipment Purchase Date Date
Bennett Pump Company
1218 E. Pontaluna Road
Spring Lake MI 49456
Fax: 231-799-6202
Bennett Pump Company
Site Audit Report
This form must be filled out and sent in to
Bennett to establish the equipment warranty.
3000 Series Electronic Dispensers.
Date of Audit
_________________
Date of Installation
_________________
Model of Dispensers and Serial Numbers
Site Information:
Checklist
Yes No
108421
If connected to a point of sale, Is the maximum distance between the dispensers and the Interface Box
less than 500 feet (150m)?
Are the field wires in metal conduit only?
Is there a conduit dedicated for each dispenser?
Are the dispenser field wires Oil and Gas resistant, color coded, THHN, copper stranded?
Are the dispenser field wires continuous with no splices?
Is the resistance measurement between Ground and Neutral at the dispenser less than one(1)ohm?
Measurement ______ ohm (Attach photo(s) if possible showing this measurement)
Are there no more than 2 dispensers on one breaker (maximum)?
Are the dispensers on dedicated breakers and NOT sharing power with any other equipment (Sub
Pumps, pump motors, air conditioners, coolers etc..)?
Do the supply tanks have fuel?
If it is a suction system, are all suction components installed per Bennett specifications?
Are the Interface boxes within 100 feet (30m) of the Point of Sale? (If Applicable).
Is the vapor seal on field wires in the dispenser head installed?
Is the dispenser mechanically mounted to the island using securing bolts and shimmed for squareness?
Is there an emergency cutoff shear valve mounted on each product inlet on remote dispensers?
Is/Are there satellite dispensers installed?
Are all of the dispensers on the same phase of power?
Is an approved emergency stop relay installed and working properly for the fuel court area?
If this is a remote dispenser, are there RC Networks on the subpump relays?
Have the meter calibrations been verified?
Was the Bennett Warranty statement reviewed with the station Manager / Owner?
Name of Owner / Manager? _________________________________________
Were all Bennett installation instructions in the Installation Manual followed? If not, please list on the
next page.