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8 Appendix A: Test report
VEGAFLEX 80 series • Two-wire 4 … 20 mA/HART
42960-EN-170410
8 Appendix A: Test report
Identication
Company/Tester
Plant/Instrument TAG
Meas. loop TAG
Instrument type/Order code
Instrument serial number
Date, setup
Date of the last proof test
Test reason/Test scope
Setup without checking the process variable
Setup with check of the process variable
Proof test without checking the process variable
Proof test with check of the process variable
Mode
Monitoring of an upper limit value
Monitoring a lower limit value
Range monitoring
Adjusted parameters of the safety function are documented
Ye s
No
Test result (if necessary)
Test point Process variable
13)
Expected measured
value
Real value Test result
Value 1
Value 2
Value 3
Value 4
Value 5
Conrmation
Date: Signature:
13)
e.g.: limit level, level, interface, pressure, ow, density