Appendix C. Fault Return Form ALSPA PROFIBUS Field Bus Coupler
Page C2 Technical Manual (09/06)
Product Failure Notification
Customer:
Address:
Fax No:
Tel No:
Date:
Ship to Address (if different to
above):
End User Details
Name:
Address:
Fax No:
Tel No:
Application Detail
Description of Item
PCB/Unit Type:
Serial No:
Description:
Distributor Engineer’s Fault Report
Fault Description:
System Type:
Fault occurs when (please tick)
Hot Cold Ambient
Fault Finding Procedure Followed:
Type of Fault (please tick)
Hard Intermittent
Time between failures
_______________ hours/minutes
Fault Code displayed
________________
Engineer’s Diagnoses &
Conclusions:
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