D
efect Report Form
Please copy this sheet and use it to report any defect which may occur.
Contact Name:
Telephone No:
Customers Name & Address:
Fax No:
Supplied by:
Date when installed:
Site:
Circuit:
When Defect Found
Date: Commissioning?
Maintenance?
Systems Fault?
Other, Please State:
Product Part No:
Serial Number:
Copy any message displayed by the relay:
Describe Defect:
Describe any other action taken:
Signature:
Please Print Name:
Date:
For RMS use only
Date Received:
Contact Name:
Reference No:
Date Acknowledged:
Date of Reply:
Date Cleared:
Visit
www.rmspl.com.au
for the latest product information.
Due to RMS continuous product improvement policy this information is subject to change without notice. User_Guide-5/Iss D/10/07/08
