Meggitt Sensing Systems

Contact information

First name*

Last name*

Job title

Company*

Address*

Country*

Email*

Phone*

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Fax

Product information

Product type*

Product

Part number (PNR)*

Serial number (SER)*

Please overwrite 'Unknown' with the serial number if you have the details.

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Unknown serial number?

Serial number unknown

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Ex product:*

Yes
No

Ex product information (additional information required for Ex products only)

Is the product installed in a hazardous area (potentially explosive atmosphere)?

Yes
No

Additional information:

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SIL product:*

Yes
No

SIL product information (additional information required for SIL products only)

Is the product installed in a safety-related system?*

Yes
No

In the safety-related system, did the system fail** in a safe mode? (That is, the safety relay operated but the trip was spurious.)*

Yes
No
Not applicable

** A faulty indicator LED is considered as a cosmetic failure.

In the safety-related system, did the system fail** in a dangerous state? (That is, the failure did not result in the safe state.)*

Yes
No
Not applicable

** A faulty indicator LED is considered as a cosmetic failure.

Additional information:

Note: For SIL products used in functional safety contexts/systems, the SIL product information section must be completed.

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Meggitt SA purchase order number:

Either customer purchase order number, Meggitt Sales Order number or Meggitt Invoice number or Meggitt Delivery Note number

Date of purchase:

Product under warranty*

Yes
Yes, we bought a warranty extension
No
Warranty status unknown

Site where installed:

End user:*

Full name and complete address (incl. phone, fax, e-mail and website) of the end-user and the end-use location.

Return information

Where should the part be shipped once it is repaired? (if different from the company's address):

Item Return Address

Full name, Address (including Zip/City/Country)

Reason for return*

Type of problem

How long was the operating time before failure?

Description of failure:

Additional information:

Note: Please provide as much information as possible, in order to help with problem diagnosis.

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Name

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Energy product return form

Contact information

Product information

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Ex product information (additional information required for Ex products only)

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SIL product information (additional information required for SIL products only)

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Return information