Field Service Report

Customer Information

• Company

• Customer Name

• Address
  Address

• City

• email

• Production line name

Service Engineer Information

• Service Engineer

• Company

• Address

• Cell#

• email

Equipment Location

• Production line name

Hardware

• Type of PSS3000 SB CPU

• Part number

• Serial number

• SafetyBus subscribers connected

  Yes

  No

• Type of Subscriber

  DI8O8

  DI16

  DI8OZ4

• Quantity

• Type of Subscriber

  DI8O8

  DI16

  DI8OZ4

• Quantity

• Type of Subscriber

  DI8O8

  DI16

  DI8OZ4

• Quantity

• Routers

  Yes

  No

• Numbers

• SB Brigge

  Yes

  No

• Numbers

Software

• Software available

  Yes

  No

• Software version

• PSS Program available

  Yes

  No

• CRC

• Select date

  Date
Inspection of hardware

• Subscriber number

• Subscriber active on network (status of SB active)

  Solid green

  Flashing green

  Flashing red

  Solid red

  Off

• Device LED

  Solid green

  Flashing green

  Flashing red

  Solid red

  Off

• I/O Group LED

  Solid green

  Flashing green

  Flashing red

  Solid red

  Off

• Load Supply LED

  Solid green

  Flashing green

  Flashing red

  Solid red

  Off

• Supply LED

  Solid green

  Flashing green

  Flashing red

  Solid red

  Off

• SB connector inspection

• Wires connected correctly (color code)

  Pass

  Fail

  N/A

• Termination resistor

  ON

  OFF

• Cable/wires loose (wiggle test)

  Pass

  Fail

  N/A

SafetyBus network test

• Qty of segments

• Result of segment 1

  Pass

  Fail

  N/A

• Result of segment 2

  Pass

  Fail

  N/A

• Result segment 3

  Pass

  Fail

  N/A

• Result of segment 4

  Pass

  Fail

  N/A

Follow Up

• Follow Up required

  Customer

  Pilz

  Both

• Follow up action customer

Comments

• Comments

Service acceptance

• Service performed by

• Service engineer

  Sign

• Date

  Date