Title Page
Customer Information
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Company
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Customer Location
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Address
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City
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Contact name
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email
Service Engineer Information
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Service Engineer
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Company
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Address
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City
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Cell#
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email
PSS3000 system
Equipment Location
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Production line
System visible inspection
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Overall condition of SB installation
Hardware
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Type of PSS3000 SB CPU
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Part number
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Serial number
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SafetyBus subscribers connected
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Type of subscriber
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Quantity
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Quantity
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Quantity
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Quantity
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Type of subscriber
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Quantity
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Quantity
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Quantity
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Quantity
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Type of subscriber
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Quantity
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Quantity
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Quantity
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Quantity
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Type of subscriber
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Quantity
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Quantity
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Quantity
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Quantity
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Routers
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Numbers
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SB Brigde
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Numbers
Software
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Software available
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Software version
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PSS Program available
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Program name
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Offline CRC
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Date linked
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Online CRC
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Date linked
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SafetyBus configured?
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Event timeout [ms]
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Byte timeout [ms] - n/a
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Domain timeout [ms]
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Cycle timeout [ms]
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Router correction time [ms]
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Transmission rate [kBit/sec]
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Communication interface used?
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Type of interface
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LED status lights
- Solid green
- Flashing green
- Flashing red
- Solid red
- Off
- N/A
PSS error stack
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PSS CPU error stack
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PSS SB error stack
Inspection of SB hardware
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Subscriber number
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Subscriber active on network (status of SB active)
- Solid green
- Flashing green
- Flashing red
- Solid red
- Off
- N/A
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Device LED
- Solid green
- Flashing green
- Flashing red
- Solid red
- Off
- N/A
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I/O Group LED
- Solid green
- Flashing green
- Flashing red
- Solid red
- Off
- N/A
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Load Supply LED
- Solid green
- Flashing green
- Flashing red
- Solid red
- Off
- N/A
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Supply LED
- Solid green
- Flashing green
- Flashing red
- Solid red
- Off
- N/A
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SB connector inspection
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Termination resistor
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Wires connected correctly (color code)
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Cable/wires loose (wiggle test)
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Supply voltage in tolerance?
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Voltage [20 - 30 VDC +-1.2V]
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Voltage [20 - 30 VDC +-1.2V]
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Connection resistance to ground
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Measured resistance OK (<100 Ω)
SafetyBus network test
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Qty of segments
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Result of segment 1
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Connection test
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Value of terminating resistors [50-85Ω]
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Check termination resistors
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check SB wires for short circuit
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Screening Test [Ω]
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Value of screening test [ohm]
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Check cable screening for interruption
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Length measurement [m]
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Segment grounded per Pilz guideline?
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Ground segment per Pilz guidline
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Result of segment 2
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Connection test
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Value of terminating resistors [ohm]
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Check termination resistors
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check SB wires for short circuit
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Screening Test
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Value of screening test [ohm]
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Check cable screening for interruption
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Length measurement [m]
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Segment grounded per Pilz guideline?
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Ground segment per Pilz guidline
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Result of segment 3
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Connection test
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Value of terminating resistors [ohm]
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Check termination resistors
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check SB wires for short circuit
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Screening Test
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Value of screening test [ohm]
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Check cable screening for interruption
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Length measurement [m]
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Segment grounded per Pilz guideline?
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Ground segment per Pilz guidline
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Result of segment 4
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Connection test
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Value of terminating resistors [ohm]
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Check termination resistors
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check SB wires for short circuit
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Screening Test
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Value of screening test [ohm]
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Check cable screening for interruption
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Length measurement [m]
Overall system evaluation
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System maintained
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Electrical cabinet accessibility
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Condition of cabinet (e.g. cleanliness, wire duct covers in place, cables etc.)
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Summary
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Findings
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Recommendations
Follow Up
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Follow Up required
- Customer
- Pilz
- Both
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Customer Follow up item 1
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Customer Follow up item 2
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Pilz follow up item 1
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Pilz follow up item 2
Service acceptance
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Service performed by
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Signature
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Date