65
Appendix A ICM-UV Checklist
Description, Specifications, Installation, Operation, and Service Manual
Appendix A ICM-UV Checklist
Type of service performed: Install Commissioning Maintenance
Project Information
1.
Customer Name:
2.
FS Order #:
3.
Installation Company:
4.
Tech:
5.
Contact #:
Siren Information
(complete this section for install, commissioning & maintenance)
6.
Siren Controller Type:
7.
Site #
8.
Siren Head Type:
9.
S/N:
10.
Board Model #:
11.
GPS Lat:
12.
GPS Long:
13.
Address:
14.
AC Voltage: VAC
15.
Charger 1*: VDC
*Note: Verify UV-Instruction
Sheet for proper Charger
measurement.
16.
Charger 2*: VDC
*Note: Verify UV-Instruction Sheet for proper
Charger measurement.
17.
Radio: VDC
18.
Firmware:
19.
Encryption: 128
256
20.
Time Encryption:
Yes
No
If blank and/or “NO” please explain
21.
UTC Time Encryption:
Yes
No
If blank and/or “NO” please explain
22.
Security Key:
23.
Intrusion switches operational:
Yes
No
N/A
24.
Padlock:
Yes
No Keyholder Number:
Keyholder Name:
Radio Information
(complete this section for install, commissioning & maintenance)
N/A
25.
Radio Make:
26.
Radio Model:
27.
Comm. Mode: Analog P25 Digital Type:
28.
Trunking:
Yes
No
29.
BW:
25
12.5
6.25
30.
CH1 RTU Tx RF:
31.
CH1 RTU Tx Dev:
32.
CH1 RTU Tx-PL:
33.
CH1 RTU Tx-PL Dev:
34.
CH1 RTU Rx RF:
35.
CH1 RTU Rx Dev:
36.
CH1 RTU Rx-PL:
37.
CH1 RTU Rx-PL Dev:
38.
CH2 RTU Tx RF:
39.
CH2 RTU Tx Dev:
40.
CH2 RTU Tx-PL:
41.
CH2 RTU Tx-PL Dev:
42.
CH2 RTU Rx RF:
43.
CH2 RTU Rx Dev:
44.
CH2 RTU Rx-PL:
45.
CH2 RTU Rx-PL Dev:
46.
Antenna secure:
Yes
No
47.
Antenna Model:
48.
Antenna Height:
49.
VSWR:
N/A
Network Information
(complete this section for install, commissioning & maintenance)
N/A
50.
IP Address:
51.
Subnet Mask:
52.
SmartMessage Server IP:
53.
MAC Address:
54.
Gateway:
55.
RTU Address:
Batteries
(complete this section for install, commissioning & maintenance
)
56.
Battery Manufacturer:
57.
Battery Model:
58.
Battery Age: New Unknown
59.
Battery Corrosion Protection Applied:
Yes
No
60.
Battery 1: VDC
61.
Battery 2: VDC
62.
Battery 3: VDC
63.
Battery 4:
VDC
64.
Total Battery: VDC
2645 Federal Signal Drive, University Park, Illinois, 60484 | Technical Support (800) 524-3021 | Customer Support (800) 548-7229
