Inkjet Printer Installation Acceptance Form

• Customer Company Name

• Description of work to be carried out

• Site Address

• Conducted on

  Date

• Prepared by

• Conducted by

This provides a formal check list to be complied by both the Domino Engineer and the customer, after the installation of the printer. The purpose of this document is to ensure that the installation has been completed to the customers satisfaction and that a formal "sign-off" is made and recorded to that effect.

• Order number -

• Customer contact -

• Customer contact telephone number -

Printer details.

• Photo of the completed installation.

  Media

• Quantity of printers in installation -

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Printer serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 1 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 2 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 1 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 2 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 3 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 1 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 2 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 3 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 4 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 1 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 2 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 3 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 4 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 5 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 1 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 2 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 3 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 4 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 5 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer 6 serial number -

• Is a touchpanel fitted ?

  just touchpanel

  no touchpanel

  touchpanel and external comms

• Touchpanel type and Serial number -

• Give an explanation as to why a touchpanel has not been provided including the IP address on the external connection if different from standard -

• Touchpanel type and serial number -

• IP address -

• Subnet Mask -

• Default Gateway -

• Printer type -

  Ax150i

  Ax350i

  Ax550i

• Nozzle size -

  60u

  75u

• Conduit Length -

  3m

  6m

• Throw distance at time of installation -

• Software version number -

Connections.

• Mains voltage input -

  110v - Industrial socket

  240v - Industrial socket

  240v - Domestic socket

• Print Go input selection -

  NPN

  PNP

• Is a shaft encoder in use ?

  YES

  NO

• Internal Stroke rate (Hz) -

• Shaft encoder input selection -

  NPN

  PNP

• Additional info if required -

• Data needed for encoder info -

• Is the Alarm Port cable in use ?

  YES

  NO

• Select the connections used -

  Select None Green alert N/O Green alert N/C Amber alert N/O Amber alert N/C Red alert N/O Red alert N/C

  • None
  • Green alert N/O
  • Green alert N/C
  • Amber alert N/O
  • Amber alert N/C
  • Red alert N/O
  • Red alert N/C

• Additional information if required -

• Is the User port cable in use ?

  YES

  NO

• Additional information is required -

Customer training.

• Has basic operator training be carried out ?

  YES

  NO

• Please provide names and role of person trained -

• Please specify the reason why training was not provided/required -

Sign off and acceptance.

• Has the printer been installed to the agreed standards ?

  YES

  NO

• Please specify the reasons why this is the case -

• Is the customer satisfied with the training provided ?

  YES

  NO

• Please specify why this is the case -

• Name of installation engineer -

• I am happy that the printer and associated ancillaries are installed to the required standard.

  Sign