SMAR ld301 - Appendix B - Srf - Service Request Form

Appendix B
B.1
SRF – Service Request Form
Pressure Transmitters
Proposal No.: (1)
Company:
Unit:
Invoice:
COMMERCIAL CONTACT
CUSTUMER CONTACT
Full Name:
Full Name:
Function:
Function:
Phone: Extension:
Phone: Extension:
Fax:
Fax:
Email:
Email:
EQUIPMENT DATA
Model:
Serial Number:
Sensor Number:
Technology:
( ) 4-20 mA ( ) HART
®
( ) HART
®
SIS ( ) WIRELESS HART
®
( ) ISP ( ) FOUNDATION fieldbus
TM
( ) PROFIBUS PA
Firmware Version:
PROCESS DATA
Process Fluid:
Calibration Range (4) Ambient Temperature ( ºF ) Process Temperature ( ºF )
Min.:
Max.:
Min.:
Max.:
Min.:
Max.:
Process Pressure (4) Static Pressure (4) Vacuum (4) Application (3)
Min.:
Max.:
Min.:
Max.:
Min.:
Max.:
( ) Transmitter ( ) Repeater
Normal Operation Time:
Failure Date:
FAILURE DESCRIPTION
(Please, describe the observed behavior, if it is repetitive, how it reproduces, etc.)
Did device detect the fail? (2)
( ) Yes ( ) No
What is the final value of the current? (2)
_____ mA
What is the message in the display? (2)
MAINTENANCE INFORMATION
Did you allow the upgrade in the firmware?
( ) Yes ( ) No
Certification plate: Will it maintained the certification?
( ) Yes ( ) No
Main board configuration:
( ) Original factory configuration ( ) Default configuration
( ) Special configuration (should be informed by the client. Please, use the space below)
OBSERVATIONS
SUBMITTER INFORMATION
Company:
Submitted by: Title: Section:
Phone: Extension: E-mail:
Date: Signature:
For warranty or non-warranty repair, please contact your representative.
Further information about address and contacts can be found on www.smar.com/contactus.asp.
NOTE
(1) This field should be filled out by the Smar.
(2) Required for SIS devices.
(3) Required for Wireless HART
®
devices.
(4) Required to specify the pressure unit.