Page
21
Air Techniques, Inc.
Final Testing/Handover Examination Documentation for
AirStar Clinical Air Compressor
Models: AS60, AS90, AS120, AS60-400, AS90-400 and AS120-400
Order number:
Address of set-up location (clinic):
Inspection of delivery for:
possible damage to packaging
possible damage to units/appliances
completeness of the delivery
This document confirms the qualified handover and instructions in use pertaining to the following unit(s):
System
P/N
Serial number:
Control Module
P/N
Serial number:
Compressor Module
P/N:
Serial number:
Compressor generators
Serial numbers:
Display panel(s)
P/N:
Serial number(s):
Noise reducing hood (optional) P/N:
Serial number:
Installation arrangement of units (photo documentation) is appended�
Date of installation:
Set-up location:
Comments:
A check that the connection to ground is not interrupted has been carried out�
The electrical safety of the system according to current national and local code has been checked and confirmed�
Training in the operation and handling of the unit(s) has been carried out� See back page�
The delivery rate of compressed air was checked indirectly by measuring the duration of time (
t
) taken to build pressure from
4 bar to 6 bar� Acceptable durations are as follows; AS60: t < 50 seconds; AS90: t < 38 seconds; AS120: t < 25 seconds�
Measured Duration: seconds�
The system was checked for signs of leakages�
All connections were laid correctly, made secure and checked according to the necessary requirements�
The system was handed over according to the components listed�
Acceptance was successful without any restrictions or annotations�
Acceptance was not successful or only partially successful due to the following reasons:
Name and address of customer:
Name and address of installation company/service
technician:
Form is part of E5121
Date / Signature of Installer
Date / Signature on behalf of customer
NOTE: Return signed sheet to Air Techniques Manufacturing Engineering department�
Summary of Contents for AirStar AS120
Page 2: ......