Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

General information

  • Sales Manager -

  • Project Number

  • Line Number

Printer Information

  • Printer Type

  • Printer Hand

  • Stroke Length

  • Label position

Installation

  • Pre Installation Photo

  • Installation Description

  • Mounting Bracket

  • Stand feet type

  • Conveyor Dimensions (Width & Length)

  • Product Width (Min & Max)

  • Label Height

  • Adjustment of label Position

Services to be supplied by Philips

  • 1 x 240V 5A supply, at agreed position of printer

  • 1 x 6 Bar air supply, supplied on 10mm OD for connection to M -Series. At agreed position of printer

  • 1 x Ethernet port at agreed position of printer

  • 1 x Fixed IP address prior to installation

Pre Installation sign off

  • I hereby accept that the installation has been completed as per the agreed standard and expectations outlined at point of order and throughout the installation process. The Domino supplied equipment is fully operational and instruction has been provided to allow full use

  • Customer Project Manager

  • Domino Engineer

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.