EHS 70
0 -
Hea
lth & Sa
fe
ty I
n
cident Report Form
f
or
Pa
ge 2
Incidents Involving a Xerox Pro
d
uct
Form EH&
S-
7
0
0
Rev 3.
0 (18 M
a
rch 200
9)
A4 Format
Details o
f Inc
ident
*Des
cri
pt
ion
Of
In
ci
de
nt
:
(C
he
ck
all that apply
)
Smoke
Des
cr
ibe qua
ntity and
dur
ation of
smo
ke
:
Fire with open flames seen
Electric shock to operator or service repres
e
n
tative
Physical injury/illness to oper
ator or service representative
Des
cr
ibe
:
Other,
Des
cr
ibe
:
M
AND
AT
ORY D
ESC
RI
PT
ION
(above):
Provide a detailed descrip
tion of all valid factors that may have
contributed to the incident. Hardware
involved in
the
incident should
be preserved and retained for further
investigation should investigation be deem
ed necessary by EH&S.
LIST
INCI
DEN
T
DE
SCRI
PTI
O
NS
AND
SUPPORT
DI
AG
RAMS/DATA INC
LUDED
OR
AT
TACHE
D
:
*Any
damage
to
cu
stome
r prope
rt
y?
No
Yes
Describe:
*D
id
ext
ern
al
em
erg
en
cy r
es
pon
se
provi
der(s
) s
uch
as
fi
re
d
ep
art
me
nt
, amb
ul
an
ce, et
c. r
es
pon
d?
No
Yes
Identify
:
(i.e., sourc
e
, names o
f in
dividuals)
Appare
nt
ca
us
e of
inc
ide
nt
(ide
ntify
part that
is sus
pec
t to be
re
sponsible
fo
r th
e inc
id
ent)
*Pre
limina
ry
a
cti
ons ta
ke
n to mitig
at
e in
cide
nt
:
Instructions:
E-mai
l o
r f
a
x both
pag
e
s of this
comp
leted
fo
rm to
EH&S:
•
For incidents in
Xerox Europ
e
and
Dev
elo
ping Ma
rket
s East
(Middle East,
Africa, India,
China,
and Ho
ng Kong)
Submit to El
ai
ne Grange
:
or
fax
: +
4
4 (0)
170
7 3
5
3914
[Intelnet
8*668
39
14]
•
For incidents in
North America
and
D
evel
opi
ng Mar
kets West
(Brazil, Me
xico, Latin America
North and
L
a
tin America S
o
uth,
Submit
form to Doris Bush
:
usa.
xerox.ehs@xerox.
com
or fax 58
5-216-8
817
[
Intelnet 8*219
-8817
]
*
Required information is preceeded b
y
asterisk
,
title
shown in red
, turquoise wash background
Summary of Contents for WorkCentre 5790 Series
Page 1: ...Xerox WorkCentre 5790 Family Service Manual 708P90298 May 2013 ...
Page 4: ...May 2013 ii Xerox WorkCentre 5790 Family Introduction ...
Page 20: ...May 2013 xviii Xerox WorkCentre 5790 Family Translation of Warnings Introduction ...
Page 22: ...May 2013 1 2 Xerox WorkCentre 5790 Family Service Call Procedures ...
Page 32: ...May 2013 1 12 Xerox WorkCentre 5790 Family SCP 7 Service Call Procedures ...
Page 53: ...May 2013 2 21 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 1 3 3V Return ...
Page 54: ...May 2013 2 22 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 2 3 3V Return ...
Page 56: ...May 2013 2 24 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 3 5V Return ...
Page 57: ...May 2013 2 25 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 4 5V Return ...
Page 59: ...May 2013 2 27 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 5 12V Return ...
Page 61: ...May 2013 2 29 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 6 24V Return ...
Page 62: ...May 2013 2 30 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 7 24V Return ...
Page 63: ...May 2013 2 31 Xerox WorkCentre 5790 Family 01B Status Indicator RAPs Figure 8 24V Return ...
Page 95: ...May 2013 2 63 Xerox WorkCentre 5790 Family 01K Status Indicator RAPs Figure 2 Circuit diagram ...
Page 96: ...May 2013 2 64 Xerox WorkCentre 5790 Family 01K Status Indicator RAPs ...
Page 178: ...May 2013 2 146 Xerox WorkCentre 5790 Family 06 350 Status Indicator RAPs ...
Page 592: ...May 2013 2 560 Xerox WorkCentre 5790 Family 16B 16C Status Indicator RAPs ...
Page 596: ...May 2013 2 564 Xerox WorkCentre 5790 Family 19 409 Status Indicator RAPs ...
Page 698: ...May 2013 3 2 Xerox WorkCentre 5790 Family Image Quality ...
Page 736: ...May 2013 3 40 Xerox WorkCentre 5790 Family IQS 8 Image Quality ...
Page 742: ...May 2013 4 6 Xerox WorkCentre 5790 Family Repairs Adjustments ...
Page 772: ...May 2013 4 34 Xerox WorkCentre 5790 Family REP 3 4 Repairs Adjustments ...
Page 938: ...May 2013 4 200 Xerox WorkCentre 5790 Family REP 9 10 Repairs Adjustments ...
Page 994: ...May 2013 4 256 Xerox WorkCentre 5790 Family REP 11 17 110 Repairs Adjustments ...
Page 1014: ...May 2013 4 276 Xerox WorkCentre 5790 Family REP 11 15 120 Repairs Adjustments ...
Page 1166: ...May 2013 4 428 Xerox WorkCentre 5790 Family REP 14 20 Repairs Adjustments ...
Page 1168: ...May 2013 4 430 Xerox WorkCentre 5790 Family ADJ 3 1 ADJ 3 2 Repairs Adjustments ...
Page 1174: ...May 2013 4 436 Xerox WorkCentre 5790 Family ADJ 4 1 Repairs Adjustments ...
Page 1242: ...May 2013 4 504 Xerox WorkCentre 5790 Family ADJ 14 1 ADJ 14 2 Repairs Adjustments ...
Page 1386: ...May 2013 6 2 Xerox WorkCentre 5790 Family General Procedures Information ...
Page 1524: ...May 2013 6 140 Xerox WorkCentre 5790 Family Fax Tags General Procedures Information ...
Page 1526: ...May 2013 7 2 Xerox WorkCentre 5790 Family Wiring Data ...
Page 1554: ...May 2013 7 30 Xerox WorkCentre 5790 Family PJ Locations Wiring Data ...
Page 1604: ...May 2013 8 2 Xerox WorkCentre 5790 Family Accessories ...
Page 1606: ...May 2013 8 4 Xerox WorkCentre 5790 Family ACC 1 Accessories ...
Page 1610: ...XEROX EUROPE ...