Siemens 7SG11 Manual page 55

Defect Report Form
Form sheet for repairs and returned goods
Sender:
* Name, first name:
Email address:
* Order-/ reference-no (choos ing at least 1 option):
Order-no for rep air:
Information concerning the product and its use :
* Order Code (MLFB):
* Customer:
Custo mer original purchase order number:
* Type of order (choosing at least 1 option):
Repair
Upgrade / Modification to ...
Type of failure:
Device or module do es not start up
Sporad ic failu re
Permanent failure
Repeated breakdown
Error desc ription:
Display message:
(use separated sheet for more info)
Active LED messages:
Faulty Inte rface(s), wh ich?
*Detailed error description (p lease refer to other error reports or documentation if possible):
* Shall a firmware update be made during repair or mechanical upgrade of protective rela ys? (choosing at least 1 option)
Yes, to most recent versio n
repair report:
Yes, standard report (free of charge)
Shipping address of the repaired/upgraded product:
Company, department
Name, first name
Street, numb er
Postcode, city, country
Date, Signature
©2013 Siemens Protection Devices Limited
Complete phone nu mber (incl. country code):
* Org-ID and GBK referenc e:
ord er-/ delivery note-no for return of commission
failure:
Firmware version :
V
Product was in use approximately since:
Delivery note number with position number:
Return o f commission failure
Warranty repair
For colle ction
Mechanical problem
Knock sensitive
Temperature caused failure
Failure after firmware update
Wrong measu red value(s), which?
No
Yes, detailed re port (charge: 400EUR)
(fields marked with * are mandatory fields)
Comp lete fax number (incl. country code):
* AWV:
Beginning order-no for credit n ote demand:
* Serial number:
Station/project:
Manufacturer:
Cre dit Note
Quotation (not repair V4 and curre nt
products! See prices in PMD)
Overload
Transport damage
Failure after ca
Faulty input(s)/output(s), which?
Yes, actua l p arameters must be reusable
7SG11 Argus User Manual
Hotline Input no.:
hrs in use
P20006 Page 37 of 37