Title Page

  • Client Name?

  • Site Location?
  • Inspection Date?

  • Customer Contact?

  • Contact Number?

  • Compiled by?

  • Installed On?

  • Add-On Equipment?

  • Part Number?

  • Serial Number?

  • Extractor Part Number?

  • Extractor Serial Number?

Survey Page

BEAM

  • Co2 Laser Source?

  • Source Trigger Box?

  • RF Source Amplifier?

  • Internal RF Indicators?

  • 48Vdc RF Supply PSU (#1)?

  • 48Vdc RF Supply PSU (#2)?

  • Laser Beam Alignment?

  • Transport Arm Angle?

  • Beam Shutter Assembly?

  • Scancube Marking Head?

OPTICS

  • Output 100% Lens?

  • Beam Transport Tubing?

  • Output Coupler/ Lens?

  • Beam Steering Mirrors (Mirror 1,2 & 3)?

  • Beam Transport Knuckles?

  • Marking Head X-Galvo Mirror?

  • Output Focal Lens?

  • Output Lens Shroud?

  • Beam Transport Tubing?

  • Marking Head Window Plates?

COVERS

  • Cabinet Stainless Steel Cover?

  • Cabinet Condensation Cover?

  • Cabinet Compression Glands?

  • Heat Exchange Steel Cover?

  • Radiator Stainless Steel Cover?

  • PSU Condensation Cover?

  • RF Connections Cover?

  • Alignment Optic Covers?

  • Beam Protection Covers?

  • PCB Interface Cover?

  • Output Coupler Cover?

  • Display Console Covers?

  • Transport Knuckle Covers?

  • Marking Head Shroud?

  • Focal Lens Shields?

  • Customer Interface Door?

  • Customer Interface Glands?

  • Filter Compartment Doors?

  • Extractor Rear Access Cover?

  • Extractor Electrical Door?

SIGNALS

  • 24Vdc Interface Supply?

  • 12Vdc Interlock Supply?

  • 0Vdc/ GND Interface Common?

  • Interlock Chan. 1?

  • Interlock Chan. 2?

  • Detector 1 (1ppr)?

  • Detector 2 (1ppr)?

  • Tacho Pulse A (5Kppr)?

  • Good Mark?

  • Bad Mark?

  • System Enable?

  • Ready To Print?

  • Extractor Ready?

  • Extractor ON?

  • Extractor Enable?

  • Comm. Port 1 RX?

  • Comm. Port 1 TX?

  • Comm. Port 1 GND?

  • E-Stop Chan. 1 IP?

  • E- Stop Chan. 2 OP?

COOLING

  • External Cooling Fan 1?

  • External Cooling Fan 2?

  • Internal Cooling Fan 1?

  • CPU PCB Cooling Fan 1?

  • External Heat Exchanger?

  • Internal Heat Exchanger?

  • External Cooling Drain?

  • Cooling Fluid Transport Tubing?

  • Silica- Gel Bags x3?

  • Glycol Cooling Fluid?

  • Cooling Fluid Reservoir?

  • Cooling Fluid Pump?

  • Cooling Fluid Cap?

  • Reservoir Breather Pipe?

  • Flow Meter Switch?

SUPPLIES

  • Nova Socket?

  • Nova Plug?

  • Main Isolator?

  • Circuit Breaker?

  • Emergency Stop?

  • Console E- Stop?

  • Voltage Indicator LED's?

  • Common Earth?

  • Stainless Lid Earth?

  • Cable Insulations?

  • 5Vdc PSU?

  • 48/55Vdc PSU 2?

  • 48/55Vdc PSU 1?

  • 24Vdc PSU?

  • 12Vdc PSU?

  • System 24Vdc?

  • Customer 24Vdc?

  • Interlock #1 12Vdc?

  • Interlock #2 12Vdc?

  • E- Stop #1 12Vdc?

  • E- Stop #2 12Vdc?

  • Common 0Vdc?

  • Cabinet Closure Earth?

  • Access Door Earth?

  • Earth Leakage Point?

  • Extractor Nova Socket?

  • Extractor Nova Plug?

  • Extractor Main Switch?

  • Extractor Power On Button?

  • Extractor Potential Earth?

CONTROLS

  • Laser Keyswitch?

  • Shutter Keyswitch?

  • Restart Button?

  • Power ON LED?

  • E- Stop Button?

  • Laser ON LED?

  • Fault ON LED?

  • Restart ON LED?

  • Display LCD?

  • Keypad Qwerty ?

  • Isolator Switch?

  • E-Stop Button?

  • Power On Button?

  • Adjustment Buttons?

  • Power On LED?

WARNINGS

  • Output Focal Lens?

  • Main Console Keyswitch?

  • Shutter Operation Keyswitch?

  • Transport Arm & Bending Knuckles?

  • Guarding & Beam Stops?

  • Labeller Doors?

  • Electrical Panel?

  • Signal Cables?

  • PCB Connections?

  • Harting Connectors?

  • Main Supply Socket?

  • Main Supply Plug?

  • Cabinet Supply Isolator?

  • Cabinet E-Stop?

  • Console E-Stop?

  • I/O Signals & Interfaces?

  • Filter Compartment & Safety Door?

  • Main Electrical Supply?

  • Marking Nozzle & Tubing?

  • Extraction Electrical Compartment?

  • Marking Head XY Adjuster?

  • Laser Cabinet Cover?

  • X-Y Adjustment Dials?

  • Cabinet Support Frame?

  • Cabinet Support Leg?

  • Marking Head Air Service Unit?

  • PSU Condensation Cover?

  • Cabinet Condensation Cover?

  • RF Condensation Cover?

  • Coolant Tubing?

  • Coolant Drain?

  • Circulation Tank?

  • Circulation Pump?

  • Reservoir Cap?

  • Reservoir Breather?

  • Heat Exchanger Lid?

  • Heat Exchanger Cover?

  • Cooling Fan (Internal)?

  • Cooling Fan 1 (External)?

  • Cooling Fan 2 (External)?

SOFTWARE

  • Sequence?

  • Time?

  • Operating System USB Backup?

  • Customer Update USB Backup?

  • Extractor Logging USB Backup?

  • PC Assembly Module/ Block?

  • PC - USB x2 Connector Ports?

  • Extractor USB Connector Port?

  • PCB IO Interface Controller PIC?

  • PCB Environmental Controller PIC?

  • Software?

  • Firmware?

  • Hardware?

  • Networking?

  • Galvanometer?

  • Time and Date?

  • Time zone/ Location?

  • Interlock Type?

  • MSHE Option?

  • Communications?

  • Digital Control?

  • PC Options?

  • Display Options?

  • Galvo Scaling?

  • Display/ Contrast?

  • Templates Stored?

  • Template Optimizations?

  • Template Marking Fields?

  • Laser Unit Parameters?

  • Line Setup Parameters?

INDICATORS

  • Display LED Screen?

  • Laser Ready LED?

  • Power On LED?

  • Fault/ Warning LED?

  • Reset Button LED?

  • Power ON LED?

  • Interface Voltage LED's?

  • System USB LED's?

  • PC Boot LED's?

  • Extractor Power ON LED?

  • Fuse Board LED's?

  • Main Switch LED?

  • Flow Control LED's?

  • Fault/ Warning LED's?

  • Up/ Down Arrow LED's?

PROTECTION

  • 5Vdc Fast- Blow Fuse?

  • 12Vdc Fast- Blow Fuse?

  • 24Vdc Fast- Blow Fuse?

  • 240Vac Inline Supply Fuse?

  • 48Vdc/ 55Vdc Fast- Blow Fuse?

  • Inline Supply Fuse Holder?

  • Inline Supply Circuit Breaker?

  • Inline Supply Isolator?

  • Inline PSU Fuse Board?

  • Fan Control PCB Fuses?

  • Supply Circuit Breaker?

  • Inline Supply Varistor?

  • Electrical Noise Filter?

  • Potential Supply Earth?

  • Potential Interface Earth?

EXTRACTION

  • Combined/ HEPA Filter?

  • Pre- Filter/ Bag Filter?

  • Inline Varistor?

  • Display/ Main PCB?

  • Solenoid Tubing?

  • Stainless Steel Tubing?

  • Air Flow Sensor?

  • Chemical Resistant Tubing?

  • Marking Head Nozzle Assembly?

  • Fasteners/ Hose Clamps?

SCHEMATICS

  • Interface Harting Connector?

  • E- Stop Harting Connector?

  • Customer Interface Panel?

  • Customer Interface Cabinet?

  • Customer Electrical Interfaces?

  • I/O Interfaces/ Signals?

  • Electrical Compartment?

  • Filter Compartment (Sensors)?

  • Main Electrical Supply?

  • Audible Status Beacon?

ELECTRONICS

  • Main Interface PCB?

  • Shutter Assembly PCB?

  • Fan Control PCB?

  • PC Processor PCB?

  • PC Connector PCB?

  • Fast-Blow Fuse PCB?

  • RTC FastMark PCB?

  • Display Console PCB?

  • IO Interface PCB?

  • Network Adapter PCB?

IDENTIFICATION

  • Interior Cabniet?

  • Exterior Cabinet?

  • PSU Block?

  • Laser Source?

  • PC Assembly?

  • RF Amplifier?

  • Interface PCB?

  • Marking Head?

  • Remote Console?

  • Extraction Unit?

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.