Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Client / Site Address Details

  • Enter customer and site details

Personnel from domino and customer, names and positions of those present

Detail of technology and solution

  • Technology

  • Enter details of application

  • Installation position

  • Direction of product past the Print Head

  • Orientation of travel past print head

  • Current code format

  • Code Format / Raster Requirement

  • Domino sample code

  • Ink type

  • Label size or available target print area

  • Photograph of label or print area

Line speed details

  • Product Pitch (mm)

  • Products per minute

  • Line speed metres per minute

  • Fixed speed?

Mounting / Basic Ancillary Details

  • Printer Stand Required?

  • Type of Stand

  • Type of Mounting Kit

  • Beacon Assembly?

General Conditions of installation

  • General photograph of area and condition

  • Temperature

  • Wash down / Wet Dry conditions for Printer

Trade in Printers

  • Trade in serial numbers and make of printers to trade in.

Signatures

  • ASM signature

  • Customer signature

  • Date and time completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.