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System Review Check Sheet/Record
Company Name
Contact Name
Address
Tel
Mobile
Fax
Email
Customer reported problems/specific requests
Checklist
Control System
Is control system mounted in a suitable place?
Daily viewing, access for maintenance?
Is protection suitable for location?
Indoor/outdoor, enclosure IP /NEMA rating?
Are there any visual signs of damage?
Is suitable cable/wire used for all connections?
Have all cables/wire been terminated correctly?
Have all earth/ground connections been made?
Are all the display indicators working properly?
Detectors
Are the detectors located in a suitable place?
Lighter/heavier than air gas? Breathing zone? Ventilation?
Are the detectors correct for the application?
Are recommended accessories fitted?
Weather protection, collecting cone, filters?
Are the detectors/filters clean?
Are the detectors securely mounted?
Are all glands/conduit secure?
Securely tightened, seals not perished?
Have all cables/wires been terminated correctly?
Are junction boxes/enclosures closed properly?
Junction boxes, transmitter enclosures?
Ancillary Devices
Are connections to ancillary devices correct?
Audio/Visual alarms? Signs? Valves? DCS? SCADA?
Are the devices suitable for the relay ratings?
Correct switching power rating or driving other relays?
Other General Comments
Checks carried out by
TP1MAN Issue 3 Apr 06 (MAN0630)
Physical damage?
Screened, SWA, CSA, or AWG?
Use of crimps, terminals tightened?
Earth loops?
LCDs, LEDs?
Gas? Range? Type?
Not been painted, filters clean?
Bracket, wall mount, pipe mount?
Use of crimps, terminals tightened?
Application Details
(Brief application and system overview including ancillary devices)
Y
N
Comments
Y
N
Comments
Y
N
Comments
Date
Maintenance
Next check
50
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