Form

Check list for field issues

Please fill out as much as possible of the following questions:
Heading (mandatory)
EPI/Ref:       Orginator:       Registered Date:      
Site(s):       Customer:      
Short Case Description:

Supplementary N Comments
A
0.1 Total amount of delivered systems/modules: ☐      
0.2 Total amount of modules in operations: ☐      
0.3 Total amount/Accumulated numbers of faulty
modules:
☐      
0.4 Is this an epidemic failure?
(ref GPRO_028_1 R&D Failure Mode Analysis Process)
☐      

HW/SW data/info N Comments

A
1.1 System/power rack type ☐      
1.2 System/rack # part/rev no. ☐      
1.3 System/rack # part/serial no. ☐      
1.4 Module/Rectifier type ☐      
1.5 Module/Rectifier # part/rev no. ☐      
1.6 Module/Rectifier SW revision ☐      
1.7 Module/Rectifier Serial. No. ☐      
1.8 Module/Controller type ☐      
1.9 Module/Controller # part/rev no. ☐      
1.10 Module/Controller SW revision ☐      
1.11 Module/Controller Serial. No(s). ☐      
1.12 Attach Config. file/data&eventlog ☐      
1.13 I/O # part/serial no. ☐      
1.14 Node # part/serial no. ☐      
1.15 NN # part/serial no. ☐      
1.16 NN # part/serial no. ☐      
1.17 NN # part/serial no. ☐      

Detailed Fault Description

Detailed Fault Description:
(Where/What/When/How many/How often/Consequenses?)
*) If possible include overall site/system pictures
if visible damage like burnt system or modules, include pictures!

Doc.no: GFORM_378
Prepared by: periveno Security level:
Approved by: ruceno
Version: 1 This document is valid on date of print only.
Modified: 2016-02-11 2020-10-06 Page 1 of 3
 Form
Check list for field issues
Fault/Symptoms N Comments
A
2.1 How many ☐ a)       b)       c)       d)      
a) Modules, b) PR racks, c) systems, d) sites affected?
2.2 Operation: Did the failure(s) occur during normal system ☐      
operation? If not specify
2.3 Time: When was the first time/date of fault occurrence? ☐      
2.4 Time: How many operation hours before first failure? ☐      
2.5 Time: How many operation hours before second failure (if ☐      
any)
2.6 Event: Did any modules failed simultaneously (which, when, ☐      
position, how many?
2.7 Position: Which position in the rack was affected ☐      
2.8 Position: If second failure and a replacement unit, do the next      
☐
failure occur in the same rack position?
2.9 Event: Have replacement units for the first failures also      
☐
failed after short time?

System Devices/Terms: Comments

3.1 Environmental Conditions in general ☐      

3.2 Environmental: Temprature & Humidity conditions, specify! ☐      

3.3 Environmental: Dust, Vibration or other specific factors? ☐      
3.4a Conditions: Did fail occure in relation to lightning/extended ☐      
temp, load steps,mains disturbance or other relevant
conditions?
3.4b External Cause: Could the failure been caused by an ☐      
“external cause», handling, operation, foreign body, etc.?
3.4c External customer equipment connected? Provide ☐      
information if ‘Yes’
3.5 Mains: Specification (voltage/phases/grn) and      
☐
conditions/reability
3.6 Fuse/Breaker: Specify if any system/cabinet fuses &/or      
☐
breakers opened/tripped during the failure(s)
3.7 Fuse: Specify if any module fuses opened/tripped during the      
failure(s)
☐
system battery breaker, system, load breaker, system mains
fuses)
3.8 Breaker: Specify if any system load or battery breaker      
☐
activated/deactivated during the failures
3.9 Fuse/Breaker: Specify type & characteristics of the      
☐
input/Mains fuse(s)/breakers
3.10 Load: Describe type of load, % load of the total power and ☐      
possible load steps?
3.11 Battery Bank info ☐      
3.12 Battery type info ☐      
3.13 Battery Breaker: Type, description & characteristics ☐      
3.14 SPD: Is SPD device installed in the cabinet/system/If yes      
☐
what type
3.15 SPD: Is the SPD device mounted according to Eltek      
☐
Guidelines
3.16 SPD: If SPD device installed outside the cabinet/system,      
describe ☐
type of the device and how it’s installed
3.17 Is the system grounding done according to Eltek Guidelines      
☐
3.18 Grounding: How is the system grounded on AC side      
(wire size & length from cabinet from internal grounding
☐
point to external grounding)

3.19 Grounding: How is the system grounded on DC side ☐      

Doc.no: GFORM_378
Prepared by: periveno Security level:
Approved by: ruceno
Version: 1 This document is valid on date of print only.
Modified: 2016-02-11 2020-10-06 Page 2 of 3
 Form
Check list for field issues
(is system grounded to + or minus) (wire size & length from
cabinet from internal grounding point to external grounding)

3.20 Generator: Is a generator connected to the system? If so      

☐
specify tecnichal and operational conditions

Other: N Comments
A
4.1 Other: Any case related actions already performed?
or any shipment already sent to Eltek NO Engineering ☐      
provide ref/tracking no.
4.2 Other: Have any failed units been opened /inspected, if yes
☐      
submit failure report(s)
4.3 Any other information that could be relevant for the
☐      
understanding of the case?

Doc.no: GFORM_378
Prepared by: periveno Security level:
Approved by: ruceno
Version: 1 This document is valid on date of print only.
Modified: 2016-02-11 2020-10-06 Page 3 of 3