Professional Documents
Culture Documents
Device / System:
Serial Number:
Software Version:
Customer Details
Name:
Person in charge:
Address (street) 1:
Address (street) 2:
City:
Country:
Additional information:
Working for You.
Environmental Condition
Ambient temperature according to specification (10 °C to 35 °C or 50 °F to 95 °F) Yes No
Ambient relative humidity according to specification (10 % to 90 %, non condensing) Yes No
Comment:
Equipment Condition
Is the instrument adjusted? Yes No Last adjustment:
Outside Excellent Good OK Bad
Prism/well condition Clean, transparent Slightly dirty Dirty/corroded
Comment:
Function Test
Yes No N/A Remarks
Touchscreen/membrane keyboard
RS-232 Interface
Ethernet Interface
USB Ports
Serial USB
Fan
Incoming Checks
Are the refractive index measurements repeatable? Yes No
Comment:
Comment:
Adjustments
Comment:
Comment:
Comment:
Final Checks
Check Results
Are the refractive index measurements repeatable? Yes No
Comment:
Comment:
Conclusion
Replaced Parts
Spare Part Material Number Quantity
General Information
Comments:
Signatures
Service Engineer Customer
Name Name
Date Date
Company Company
Signature Signature