Download Questionnaire as basis for a quotation for safety and / or EMC tests

Questionnaire as basis for a quotation for
safety and / or EMC tests
PLEASE, FILL IN THE QUESTIONNAIRE AND SEND IT BY
[email protected]; [email protected]
E-mail:
Fax:
+421 33 79 57 219
Technický skúšobný ústav Piešťany, š.p.
Mail:
Krajinská cesta 2929/9, 921 01 Piešťany, Slovak republic
1. INFORMATION ABOUT THE APPLICANT
Company name:
Street, number:
Postal code, city, country:
Contact person:
Phone:
Department:
Fax:
E-mail:
2. NAME/ TRADE MARK/ TYPE DESIGNATION OF THE PRODUCT
3. WHAT KIND OF EQUIPMENT IS THE PRODUCT?
(general description, field of application; please, add data sheets, advertising material, etc. if available)
4. WHERE IS THE PRODUCT INTENDED TO BE USED? (Please, tick if appropriate.)
Residential, commercial and light-industrial environments
Industrial environments
Use in motor vehicles as
follows:
Other area of use:
5. DIMENSION, WEIGHT OF THE PRODUCT, DEGREE OF PROTECTION
Height x width x depth in
mm:
IP degree of protection:
x
x
Weight in kg:
6. IF KNOWN, PLEASE LIST THE REQUIRED TEST STANDARDS.
EMC emission:
EMC immunity:
Electrical safety:
7. IS THE PRODUCT INTENDED TO GENERATE HF ENERGY? (relevant only for EMC)
(e.g. high-frequency welding machines)
yes
no
8. PLEASE, DEFINE THE OPERATING FREQUENCIES GENERATED BY THE PRODUCT. (relevant only for EMC)
>10 kHz (e.g. clock signals)
<10 kHz (e.g. TRIAC controls)
9. DOES THE PRODUCT HAVE A CONTROL ACCORDING TO EN 61000-3-2, SUBCLAUSE 6.1? (relevant only for
EMC)
(e.g. unbalanced control or rectification)
yes
no
10. THE DEVICE WORKS … (relevant only for EMC)
“stand alone”.
page 1 / 3
Technický skúšobný ústav Piešťany
Krajinská cesta 2929/9, 921 Piešťany, Slovak republic
Edition: 2014-08
Form: 316/14/Q
TSU Quotation Electrical Safety & EMC
Questionnaire as basis for a quotation for
safety and / or EMC tests
as part of a system of several devices.
We want to test the single device.
We want to test the whole system.
Note: If you want to test the single device only, but this device needs auxiliary devices (e.g. an external power supply) for
operation, those auxiliary devices must not influence the test result or must be replaced by a special non-disturbing
simulator.
Which external control units are required for the operation of the device and can you provide them for the
tests?
11. PLEASE, DEFINE THE POWER SUPPLY REQUIRED FOR THE DEVICE.
(AC/DC, three-phase current, vehicle power supply, on-board train power system, mains frequency)
Operating
voltage:
Frequency:
IP degree of
protection:
Power:
12. WHICH MEDIA ARE REQUIRED OR HAVE TO BE SIMULATED FOR OPERATING THE DEVICE?
(e.g. pneumatic, hydraulics, oil, water, gas)
13. CAN FLUIDS LEAK OUT OF THE DEVICE WHEN OPERATING IT?
yes
no
14. DOES THE DEVICE EMIT ANY KIND OF RADIATION? (e.g. x-rays)
yes
no
Details:
15. DOES THE DEVICE ONLY OPERATED PROPERLY IN A SPECIAL WORKING POSITION?
yes
no
Details:
16. PLEASE, GIVE DETAILS ON THE WIRES ATTACHED AND THEIR SPECIFIED LENGTHS.
Number
Kind of wire
DC
AC
RS …
IEC Bus
Measuring wires
Control wires
Centronics
Data and signal wires
Others:
Length in m
Shielded (y/n) Number of cores
Kind of connector
17. PLEASE, LIST THE OPERATING MODE(S) FOR WHICH THE TESTS ARE TO BE PERFORMED. (relevant only
for EMC)
18. WHICH FREQUENCIES ARE GENERATED BY THE DEVICE AND WHICH SOURCES ARE USED BY IT?
(relevant only for EMC) (e.g. transmission rates, measuring frequencies, transmission areas, clock frequencies, etc.)
page 2 / 3
Technický skúšobný ústav Piešťany
Krajinská cesta 2929/9, 921 Piešťany, Slovak republic
Edition: 2014-08
Form: 316/14/Q
TSU Quotation Electrical Safety & EMC
Questionnaire as basis for a quotation for
safety and / or EMC tests
19. HOW CAN THE FUNCTION OF THE DEVICE BE MONITORED DURING THE IMMUNITY TESTS? (relevant only
for EMC)
(e.g. by camera, microphone, voltage and current measurement, opto-electronically)
20. PLEASE, GIVE THE EXPECTED REACTION TIME OF THE DEVICE. (relevant only for EMC)
21. PLEASE, SPECIFY THE MINIMUM OPERATING QUALITY IN CASE OF MALFUNCTIONS DURING THE EMC
IMMUNITY TESTS. (relevant only for EMC)
22. IF APPLICABLE, PLEASE, SPECIFY ANY POTENTIAL SAFETY PROBLEMS.
(e.g. danger of fire in case of failure, accessible live parts, high voltage, etc.)
23. YOUR FAVOURED DATE OF TESTING
24. DATE AND WAY OF DELIVERY OF THE EQUIPMENT TO BE TESTED
25. WHICH KIND OF TEST DO YOU REQUIRE?
Development-accompanying test
CE conformity test according to
Conformity test of the series production
Others:
26. PLEASE, SELECT A KIND OF DOCUMENTATION?
Test protocol (only test results – no evaluation)
Test report as pdf file
Test report as paper version
27. WE HAVE ATTACHED THE FOLLOWING DOCUMENTS (IN ENGLISH LANGUAGE):
Description, manual of the device
Circuit and layout plans (if available)
28. DO YOU HAVE ANY QUESTIONS OR FURTHER REMARKS?
Location, date
page 3 / 3
Name/ signature
Technický skúšobný ústav Piešťany
Krajinská cesta 2929/9, 921 Piešťany, Slovak republic
Edition: 2014-08
Form: 316/14/Q
TSU Quotation Electrical Safety & EMC