7SG163 Ohmega 300 Series Maintenance
3 Defect Report Form
Form sheet for repairs and returned goods
(fields marked with * are mandatory fields)
S en d er:
* N am e, fir st n am e:
C o mplete pho ne nu m be r (inc l. co untry co de):
C om p lete fax nu m ber (inc l. c ou ntry c od e):
E m ail addres s :
* O rg -ID an d G B K r efere nc e:
* A WV :
* Or d er-/ r efere n ce-n o (ch o os in g at lea st 1 o p tio n):
O rder-no fo r rep air:
o rd er-/ deliv ery n ote-no for return of c omm is s io n
fa ilure:
B eginning order-no fo r cred it n ote d em a nd:
In fo rm atio n co n ce rn in g the p ro d u ct an d its u se :
* Or d er C od e (M L F B ):
F irm w are v ers ion :
V
* S eria l n u m be r:
* C us tom er:
P roduc t w a s in u se approx im ate ly
sinc e:
S tation /proje ct :
H otline Inpu t no .:
C u sto mer origin al purc has e o rd er num ber:
D e live ry no te nu mbe r w ith pos it ion num ber:
M anu fac turer:
* T ype o f or d er (c h oo s in g at leas t 1 o p tio n ):
R e pair
R e turn o f co mm is sion failure
C re dit N ote
U p grade / M od ific ation to …
W arranty repa ir
Qu otation (n ot repa ir V 4 and c urre nt
F or c olle ction
produc ts ! Se e price s in P MD )
T yp e o f failu r e:
D e vice or m o dule do es not sta rt up
M ec hanic al problem
Ov erlo ad
S porad ic
failu re
K noc k
s ens itiv e
Tran sp ort
dam age
P erm an ent f ailure
T em perat ure c aus ed f ailure
Fa ilure af ter ca
h rs in us e
R e peat ed
brea kd ow n
F ailure
afte r
firm w a re
upd ate
E rro r d esc rip tio n :
D is pla y m es sa ge:
(us e s epa ra ted she et fo r m ore info )
A ct iv e LE D m es sa ges :
F au lty Inte rf ac e(s), w h ic h?
W rong m ea su re d v alu e(s), w h ic h?
Fa ult y inpu t(s )/ou tput(s ), w hich ?
* D etailed e rr or d esc rip tio n
(p le ase refer to othe r e rror rep orts or doc um entat ion if pos s ible):
* Sh all a firm w a re up d ate be m ad e d u ri ng r ep air o r m e ch an ical u pg r ad e o f p ro tective rela ys? (ch o o sin g at le ast 1 o p tio n )
Y es , to m os t rec ent v ers io n
N o
Yes , ac tua l p aram e ters mus t be reus able
r ep air rep o rt:
Y es , st anda rd report (free of c harge )
Y es , det ailed re port (c harge: 400E U R )
S h ip pi ng a d dr ess o f th e r ep air ed /u p g rad ed p r o du c t:
C o m pan y, depa rtm ent
N a m e, f irs t nam e
S treet, n um b er
P os tco de, c ity, co untry
D a te , Sig n atu re
E
D
E
A
M
F
T
C
C
6
r
el
e
a
s
e
f
rom
11
/2
00
9
Please contact the Siemens representative office in your country to obtain return instructions.
©2010 Siemens Protection Devices Ltd
Chapter 10 Page 6 of 6
