D4222901M
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http://www.toshiba-teli.co.jp/en/index.htm
■
Entry date
In order to grasp the details of failure,
please fill out the following information, and send us the defective product with this report sheet enclosed.
(1) Customer information
Company Name
Department
Your Name
Telephone number
E-Mail address
FAX number
Postal code number
Address
(3) We suggest a possible solution before your repair request.
Please ensure your safety when you check following items.
Please handle power supply with proper procedure, and make sure it does not impede any operation.
a) Restart the power supply of this product.
Check
→
□
Tried
□
Not Tried
Please turn off this product once, switch on a power supply again after passing for a while, and confirm operation.
b) Exchange for other products.
Check
→
□
Tried
□
Not Tried
Please exchange for other same products, and confirm operation.
c) Connect to other PC systems.
Check
→
□
Tried
□
Not Tried
Please connect this product to other PCs, and confirm operation.
d) Check Specifications of this product.
Check
→
□
Tried
□
Not Tried
Please confirm that specifications of this product conform to usage environment refering to following URL.
URL:http://www.toshiba-teli.co.jp/index.htm
Please check our website for the latest information.
(4) Failure situation
■
Accurual date
Model name
Serial No.
Your dealer
Purchase date
Failure condition:
(5) From when
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From the beginning
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After a while
day
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After firmware was changed.
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Others
（
）
(6) Occurrence frequency
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It certainly occurs.
□
It sometimes occurs. every
Hours
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It occurs, after time passes.
Hours
□
Others
（
）
(7) Occurrence frequency
1
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everyday
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Onec a week.
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Once a month.
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Others
（
）
2
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24hours of continuous use
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Hours/day
3
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Turn OFF when not used.
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Always turn ON
(8) Operating time
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hours of total operating time
(9) Installation status
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Fix
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Shifted camera position
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Vibration
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No vibration
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Others
（
）
(10)Fixed place
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camera body
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Only lens body
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Others
（
）
(11)Heat radiation method
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With heat sink
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No heat sink
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Others
（
）
(12)Ambient temperature
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Below 0
℃
.
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0
℃
~ 40
℃
℃
Concrete figures
□
above 40
℃
.
(13)Ambient humidity
□
Below 10%
□
10%~ 90%
% Concrete figures
□
above 90%(Condensation condition)
(14)Operating environment
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Filled with gas
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Powder dust
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Liqid dust
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No special environment.
□
Other special environment
（
）
(15)Frame ground
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Frame grounded
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No frame ground
(16)TRIG/GPIO
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Only use TRIG
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Only use GPIO
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Not use TRIG and GPIO
(17) Power supply (Only BG serise)
□
PoE
□
I/O connector(DC12V)
(18)Cable
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BG series
LAN (Model
)
Meters
□
BU series
USB (Model
)
Meters
Reception date :
Receipt No. :
JOB No. :
Check :
Failure situation report sheet
<For dealer use>
(2) Return address
Ver.2.09
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questionnaire of the improvement in customer satisfaction.
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We pay careful attention and manage a visitor's information.
Please fill out this information, if the return addrrss is different from above address (1).
(Please fill out the phenomenon in detail.)
