Title Page

Customer Information

  • Company

  • Customer Location

  • Address
  • City
  • Contact name

  • email

Service Engineer Information

  • Service Engineer

  • Company

  • Address

  • City

  • Cell#

  • email

PSS3000 system

Equipment Location

  • Production line

System visible inspection

  • Overall condition of SB installation

Hardware

  • Type of PSS3000 SB CPU

  • Part number

  • Serial number

  • SafetyBus subscribers connected

  • Type of subscriber

  • Quantity

  • Quantity

  • Quantity

  • Quantity

  • Type of subscriber

  • Quantity

  • Quantity

  • Quantity

  • Quantity

  • Type of subscriber

  • Quantity

  • Quantity

  • Quantity

  • Quantity

  • Type of subscriber

  • Quantity

  • Quantity

  • Quantity

  • Quantity

  • Routers

  • Numbers

  • SB Brigde

  • Numbers

Software

  • Software available

  • Software version

  • PSS Program available

  • Program name

  • Offline CRC

  • Date linked

  • Online CRC

  • Date linked

  • SafetyBus configured?

  • Event timeout [ms]

  • Byte timeout [ms] - n/a

  • Domain timeout [ms]

  • Cycle timeout [ms]

  • Router correction time [ms]

  • Transmission rate [kBit/sec]

  • Communication interface used?

  • Type of interface

  • LED status lights

PSS error stack

  • PSS CPU error stack

  • PSS SB error stack

  • Inspection of SB hardware
  • Subscriber number

  • Subscriber active on network (status of SB active)

  • Device LED

  • I/O Group LED

  • Load Supply LED

  • Supply LED

  • SB connector inspection

  • Termination resistor

  • Wires connected correctly (color code)

  • Cable/wires loose (wiggle test)

  • Supply voltage in tolerance?

  • Voltage [20 - 30 VDC +-1.2V]

  • Voltage [20 - 30 VDC +-1.2V]

  • Connection resistance to ground

  • Measured resistance OK (<100 Ω)

SafetyBus network test

  • Qty of segments

  • Result of segment 1

  • Connection test

  • Value of terminating resistors [50-85Ω]

  • Check termination resistors

  • check SB wires for short circuit

  • Screening Test [Ω]

  • Value of screening test [ohm]

  • Check cable screening for interruption

  • Length measurement [m]

  • Segment grounded per Pilz guideline?

  • Ground segment per Pilz guidline

  • Result of segment 2

  • Connection test

  • Value of terminating resistors [ohm]

  • Check termination resistors

  • check SB wires for short circuit

  • Screening Test

  • Value of screening test [ohm]

  • Check cable screening for interruption

  • Length measurement [m]

  • Segment grounded per Pilz guideline?

  • Ground segment per Pilz guidline

  • Result of segment 3

  • Connection test

  • Value of terminating resistors [ohm]

  • Check termination resistors

  • check SB wires for short circuit

  • Screening Test

  • Value of screening test [ohm]

  • Check cable screening for interruption

  • Length measurement [m]

  • Segment grounded per Pilz guideline?

  • Ground segment per Pilz guidline

  • Result of segment 4

  • Connection test

  • Value of terminating resistors [ohm]

  • Check termination resistors

  • check SB wires for short circuit

  • Screening Test

  • Value of screening test [ohm]

  • Check cable screening for interruption

  • Length measurement [m]

Overall system evaluation

  • System maintained

  • Electrical cabinet accessibility

  • Condition of cabinet (e.g. cleanliness, wire duct covers in place, cables etc.)

  • Summary

  • Findings

  • Recommendations

Follow Up

  • Follow Up required

  • Customer Follow up item 1

  • Customer Follow up item 2

  • Pilz follow up item 1

  • Pilz follow up item 2

Service acceptance

  • Service performed by

  • Signature

  • Date

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.