22
A100g
JULY 2017
Hansen Test Certificate
Product Description:_____________________
Serial Number:__________________________
Date of First Calibration:__________________
Date of Last Calibration:___________________
Type/Range of Test Gas:_________________
1. Carry out “Bump Test” (Set delay to zero)
Initial the following, encircle “OK” when completed.
Power (Green LED)
_______________________________ OK
Visual Alarm (Red LED)
_______________________________ OK
Audible Alarm Operating
_______________________________ OK
Relay Operating
_______________________________ OK
Remote Systems if connected
to relay
_______________________________ OK
Check Analog Output in Use,
e.g. 0-5V, 4-20 mA
_______________________________ OK
2. On-Site Gas Calibration
Initial the following, encircle “OK” when completed.
System Passed
_______________________________ OK
If the Gas Sensor did not respond correctly and could not be recalibrated due to age, exposure to gas etc,
then either the Gas Sensor or the sensing element should be replaced (and recalibrated.)
System Failed
_______________________________
I hereby certify that the above specified test procedure has been performed.
The Hansen Gas Sensor (is)/(is not) performing as specified
.
Encircle the appropriate conclusion.
Test Performed by: ________________________________ _________________________
Signature
Date
Gas Detection Test Certificate
