Title Page

  • Site name

  • Site contact details (name/ number/ company)

  • Conducted on

  • Order number

  • Reason for free Visit?

  • Location

Pre visit

  • Reason for visit

  • Units to be commissioned/ health checked/ trialed?

  • AVFM 6.1

  • BlackBox 130

  • dB transducer

  • dB3

  • dB Mach 3

  • dB6

  • dB10

  • dB15

  • dB25

  • dB40

  • dB50

  • dBi HART

  • dBi 3

  • dBi6

  • dBi10

  • dBi15

  • dBi Modbus

  • dBi 3

  • dBi 6

  • dBi 10

  • dBi 15

  • dBi Profibus

  • dBi 3

  • dBi 6

  • dBi 10

  • dBi 15

  • dBR Radar series

  • dBR 8

  • dBR 16

  • DFM 6.1

  • DFS 5.1

  • DLT 2.0

  • Flow Monitor

  • Flow Cert

  • Flow Pulse Hand Held

  • Flow Pulse Sensor

  • IMP

  • IMP I.S

  • IMP Lite

  • ISM 5.0

  • LIT 2.5

  • Mantaray

  • MicroFlow

  • MicroFlow I

  • OCF 6.1

  • PDFM 5.1

  • PSL 5.0

  • PTFM 6.1

  • Pulsar Gaurd

  • Quantum 2

  • Quantum 3

  • Reflect

  • Sand Alert

  • SFM 6.1

  • Sludge Finder 2

  • Stingray

  • Ranger Telemetry

  • TTFM 6.1

  • Ultimate

  • Ultra 4

  • Ultra 5

  • Ultra Twin

  • Viper Transducer

  • Zenith

  • Other

  • Unit type

  • Customer PO received

  • Reason for free visit

  • RAMS issued

Visit details

  • Application details

  • Controller type

  • Transducer(s)/ Radar/ other

  • Have original parameter files been saved?

  • Have you recorded Echo trace before changes?

  • Has P105 been verified by measurement

  • Have Relay setpoints been set to customers requirements

  • Is This unit measuring flow

  • Is the Unit using a PMD

  • Exponent

  • Supp. Rect

  • Crest Width?

  • Trapezoid

  • Crest Width?

  • Venturi

  • Parshall

  • Throat Width?

  • Leopold L

  • Diameter?

  • V Notch

  • V Notch Angle

  • Other

  • Rect.contWeir

  • Crest Width?

  • 3680 Flume

  • Rectangular

  • Approach Width

  • Throat Width

  • Throat Length

  • Rectangular with Hump

  • Approach Width

  • Throat Width

  • Throat Length

  • Hump Height

  • U Throat

  • Approach Diameter

  • Throat Diameter

  • Throat Length

  • U Throat. Hump

  • Approach Diameter

  • Throat Diameter

  • Throat Length

  • Hump Height

  • 3680 Weir

  • Rectangular

  • Approach Width

  • Crest Width

  • Crest Height

  • 90 Degree V Notch

  • 53 Degree V Notch

  • 28 Degree V Notch

  • Broad Crest

  • Approach Width

  • Crest Length

  • Crest Height

  • Special

  • Universal

  • Is unit using AxV

  • MicroFlow

  • Other Velocity measurement Device

  • Is this unit measuring Volume?

  • Has vessel been physicaly measured for vessel dimensions

  • Have vessel dimensions been obtained by drawing

  • Measurement units

  • Is this unit controlling Pumps

  • How many pumps are being controlled

  • Are there any alarms setup

  • Alarm type(s)

  • Is the mA output being used by the customer

  • Has mA been trimmed?

  • Picture of device connected to mA output

  • Does this unit have a Comms board

  • Modbus

  • Profibus

  • Have parameters been saved after commissioning

  • Has Echo trace been recorded after commissioning

Application & Process Pics

  • Please take picture of Unit

  • Please take picture of Transducer/ Sensor

  • Please take picture of Application

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.