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.


  • ASM signature

  • Customer signature

  • Date and time completed

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