D-SERIES & G-SERIES SIGN OFF DOCUMENT

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• SALESMAN

• DOMINO INSTALLATION ENGINEER

• Select date

  Date

PROJECT

• PROJECT NUMBER

• PROJECT OUTLINE

• SKETCH LAYOUT

  Drawing

CUSTOMER INFORMATION

• COMPANY NAME

• Add location
  Address

• CUSTOMER PROJECT MEMBER

• TITLE

PRINTER MODEL

• LASER

  G-SERIES

• LASER MODEL?

  Select D120i D320i D620i S100 S200

  • D120i
  • D320i
  • D620i
  • S100
  • S200

• LENS?

  Select 100mm 150mm 200mm 250mm 300mm

  • 100mm
  • 150mm
  • 200mm
  • 250mm
  • 300mm

• SCAN HEAD SIZE?

  Select 8mm 10mm 14mm

  • 8mm
  • 10mm
  • 14mm

• DPX MODEL?

  Select DPX500 DPX1000 DPX1500

  • DPX500
  • DPX1000
  • DPX1500

• LASER 2 MODEL?

  Select D120i D320i D620i S100 S200

  • D120i
  • D320i
  • D620i
  • S100
  • S200

• LASER 2, LENS?

  Select 100mm 150mm 200mm 250mm 300mm

  • 100mm
  • 150mm
  • 200mm
  • 250mm
  • 300mm

• LASER 2, SCAN HEAD SIZE?

  Select 8mm 10mm 14mm

  • 8mm
  • 10mm
  • 14mm

• LASER 2, DPX MODEL?

  Select DPX500 DPX1000 DPX1500

  • DPX500
  • DPX1000
  • DPX1500

• BACKEND VERSION SOFTWARE?

• IMAGE?

SERIAL NUMBERS

• LASER S/N

• SCAN HEAD S/N

• CONTROLLER S/N

• TOUCH SCREEN S/N

• DPX S/N

• PRINTER 2, LASER S/N

• PRINTER 2, SCAN HEAD S/N

• PRINTER 2, CONTROLLER S/N

• PRINTER 2, TOUCH SCREEN S/N

• PRINTER 2, DPX S/N

• PRINTER 2, LENS?

  Select 100mm 150mm 200mm 250mm 300mm

  • 100mm
  • 150mm
  • 200mm
  • 250mm
  • 300mm

• LASER MODEL, PRINTER 2

  Select D120i D320i D620i S100 S200

  • D120i
  • D320i
  • D620i
  • S100
  • S200

• PRINTER 1, MODEL

  Select G120i G220i G320i

  • G120i
  • G220i
  • G320i

• PRINTER 2, MODEL

  Select G120i G220i G320i

  • G120i
  • G220i
  • G320i

• PRINTER 3, MODEL

  Select G120i G220i G320i

  • G120i
  • G220i
  • G320i

• PRINTER 4, MODEL

  Select G120i G220i G320i

  • G120i
  • G220i
  • G320i

• PRINTER 1, STYLE OF HEAD

  STANDARD

  LOW PROFILE

• PRINTER 2, STYLE OF HEAD

  Select STANDARD LOW PROFILE

  • STANDARD
  • LOW PROFILE

• PRINTER 3, STYLE OF HEAD

  Select STANDARD LOW PROFILE

  • STANDARD
  • LOW PROFILE

• PRINTER 4, STYLE OF HEAD

  Select STANDARD LOW PROFILE

  • STANDARD
  • LOW PROFILE

• PRINTER 1, NUMBER OF HEADS

  1

  2

  3

  4

• PRINTER 2, NUMBER OF HEADS

  Select 1 2 3 4

  • 1
  • 2
  • 3
  • 4

• PRINTER 3, NUMBER OF HEADS

  Select 1 2 3 4

  • 1
  • 2
  • 3
  • 4

• PRINTER 4, NUMBER OF HEADS

  Select 1 2 3 4

  • 1
  • 2
  • 3
  • 4

• PRINTER 1, INK TYPE

  Select BK651 BK107

  • BK651
  • BK107

• PRINTER 2, INK TYPE

  Select BK651 BK107

  • BK651
  • BK107

• PRINTER 3, INK TYPE

  Select BK651 BK107

  • BK651
  • BK107

• PRINTER 4, INK TYPE

  Select BK651 BK107

  • BK651
  • BK107

SERIAL NUMBERS

• PRINTER 1, SERIAL NUMBER

• PRINTER 2, SERIAL NUMBER

• PRINTER 3, SERIAL NUMBER

• PRINTER 4, SERIAL NUMBER

APPLICATION

• HOST MACHINE / LOCATION

• LINE NUMBER

• LINE SPEED

• PRODUCTS PER MINUTE

• PRODUCT MATERIAL

• CODE EXAMPLE

INSTALLATION PHOTOS

• Add media

  Media

• Add media

  Media

• Add media

  Media

• PRINTER CONFIGURATION AND MESSAGES BACKED UP?

  Yes

  No

  N/A

• CUSTOMER ISSUED WITH A COPY OF BACKUP?

  Yes

  No

  N/A

• BASIC OPERATOR TRAINING RECIEVED?

  Yes

  No

  N/A

• I hereby accept the installation has been completed as per the general standard and expectations outlined at point of order and throughout the installation process. The DOMINO supplied equipment is fully operational and training has been provided to allow full use.

• CUSTOMER SIGNATURE

  Sign

• DOMINO ENGINEER

  Sign