Appendix A
A.1
SRF
– SERVICE REQUEST FORM
Profibus-PA Remote Input and Output
GENERAL DATA
Model:
FRI303
Serial Number:
______________________________________________________________________________________________
TAG:
______________________________________________________________________________________________
Channels being
used in FRI303:
INPUT
1 ( )
2 ( )
OUTPUT 1 ( )
2 ( )
Configuration:
PC ( )
Software: _______________________ Version: ___________________________
INSTALLATION DATA
Type/Model/Manufacturer of device
connected to FRI303:
___________________________________________________________________________
_______________________________________________________________________________________________________________
PROCESS DATA
Hazardous Area
Classification:
( ) Yes, please specify: _____________________________________________________________________________
( ) No
More details:__
____________________________________________________________________________________
Interference
types present in
the area:
No interference ( )
Temperature ( )
Vibration ( )
Other: _________________________________
Environment
Temperature:
From __________ºC up to __________ºC.
OCCURRENCE DESCRIPTION
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
SERVICE SUGGESTION
Adjustment ( )
Cleaning ( )
Preventive Maintenance ( )
Update / Up-grade ( )
Other: __________________________________________________________________________________________________________
USER INFORMATION
Company:
_____________________________________________________________________________________________________
Contact:
_______________________________________________________________________________________________________
Title:
__________________________________________________________________________________________________________
Section:
_______________________________________________________________________________________________________
Phone:
_________ _________________________ _________ _________________________
Extension:
___________________
E-mail:
________________________________________________________________________
Date:
______/ ______/ __________
For warranty or non-warranty repair, please contact your representative.
Further information about address and contacts can be found on https://www.smar.com/en/support.
Summary of Contents for FRI303
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