Field Modification Approval Request Form - Raychem nvent MI Series Manual

4
Appendix A: Field
Modification Approval
Request Form
MI Heating Cable Field Modification Approval Request Form
For field modifications, where the heating cable length is changed by
more than three percent (3%), the change must be reviewed by nVent
and a new cable identification tag must be ordered. Please fill in this
form and fax to 1-800-272-7808. nVent will review the change and
advise if the modification is appropriate.
SENDER INFORMATION
Contact Name:
Address:
Ship to address for Metal Tag (if different than above):
Reason for Cable Modification:
CABLE INFORMATION AND DESCRIPTION OF CHANGE
(All Fields MUST be Completed)
'Original Tag Information' may be found on the metal identification tag
attached to the cold lead. = Do NOT fill in this area
Serial No
Amps
Max Surface Temp (°C)
Cable Design
Cable Reference
Cable Length
Watts
Volts
Cold Lead Length
Cold Lead Code (or AWG)
Joint Type
Connector
Ordinary Location Desig
Haz. Location Desig
Tag no.
ADDITIONAL INFORMATION REQUIRED IF CABLE IS USED IN HAZ.
LOCATIONS
Maintain Temp (°C)
Auto Ignition Temp (°C)
FOR INTERNAL USE ONLY
Cable Manufacture Review:
Metal Tag Part No.
Sales Order No.
If you have any questions regarding this form, please contact
nVent at 650-474-7709.
46 | nVent.com
Original Tag information
Ft
Ft
Haz. Groups
Print Name
Meter
Meter