Instruction Manual
K SERIES Cryostorage System
IM: CryoCeK
Revision: 02
Approved by: CB
Page
67
of
87
Appendix A1 - INITIAL INSTALLATION LOG
IMPORTANT
: Fill in this form after the initial installation of your Worthington Industries Cryostorage System has been done.
Customer Information
Operating Company Name:
Service Company Name:
Cryostorage System Information
Cryostorage Model:
Serial No:
Controller Model:
Serial No:
Version No:
Operation Conditions
– Actual
Operation Conditions
– Controller Reading
Liquid Level via Dipstick:
Liquid Level per Controller:
Level Sensor Type:
FG
8T
4T
Liquid Level Setting:
HIGH
LOW
Lid Open:
Lid Closed:
Lid Open:
Lid Closed:
Filling:
Yes
No
Filling:
Yes
No
Temperature:
Temperature:
LN2 Supply:
ltr
bar/kPa Supply Alarm:
On
Off
Ice Build-up:
a little
a lot
Remote Alarm:
On
Off
Gasket Condition:
seals
leaks
Audible Alarm:
On
Off
Display Lights:
On
Off
Temperature Control Setpoint at:
°C
Initial Installation Checks
Controller Alarms Test:
Yes
No
Remarks:
LN2 Shut-off Valve:
Yes
No
Remarks:
LN2 Relief Valve:
Yes
No
Remarks:
LN2 Pressure Regulator:
Yes
No
Remarks:
Location Ventilation:
Yes
No
Remarks:
Electrical Power Supply:
Yes
No
Remarks:
Electromagn. Sources:
Yes
No
Remarks:
ICS Rack Arrangements:
Yes
No
Remarks:
Initial Installation completed
Service Company
Operating Company
Print Name:
Print Name:
Date/Signature:
Date/Signature:
In-service Date:
LOG NO
NOTE
: Please send a copy of this form to Worthington Cylinders GmbH, Customer Service via Fax: +43 7485
606 100 or Email: [email protected].
