Professional Documents
Culture Documents
eclipse Installation Checklist (Form A) and MDE-4227 Encore/Eclipse Start-Up Checklist (Form B)
eclipse Installation Checklist (Form A) and MDE-4227 Encore/Eclipse Start-Up Checklist (Form B)
SITE INFORMATION
Site Name/Number: Street:
Phone Number: City/State/Zip:
POS with Passport® Only: Software and Service Pack Version:
INSTRUCTIONS: This form is to be completed by the commissioner. The commissioner is defined as a person with the appropriate Gilbarco® training, usually an Authorized Service Contractor (ASC),
necessary to complete the commissioning process and train station personnel. MDE-4226 Encore®/Eclipse® Installation Checklist (Form A) and MDE-4227 Encore/Eclipse Start-up Checklist (Form B)
are prerequisites to this form. The commissioner should retrieve the original and a copy of Form A and Form B from the pumps/dispensers. Give the copy to the station representative and save the
original for your records. Keep the original of this commissioning form (Form A and Form B) in your records for three years. The commissioner will discuss results of all the checklists with the station
manager/supervisor.
IMPORTANT NOTE: The commissioning ASC should verify that the units have been inspected per the Installation Checklist (Form A) and the Start-up Checklist (Form B). Failure to complete all forms may
delay commissioning completion and may affect warranty. In case all forms are not complete or available, the commissioner must explain the options for completing commissioning to the station owner.
COMMISSIONING: The commissioner should have all of the required forms and signatures ready. Log the SR # at the top right of form. Do not mail commissioning form as the information is to be filled
online.
*Door node information is applicable only for Encore 500 and 700 S units.
1 All dispenser/pump wiring properly spaced and isolated from wiring to electrically noisy devices per MDE-3802 Encore and Eclipse Site Preparation Manual.
2 Breakers marked with dispenser ID numbers.
3 A copy of the unit warranty statement and the policy has been reviewed with and given to the site owner/manager.
4 Dispenser emergency shutdown procedures discussed per MDE-3893 Encore and Eclipse Series Owner’s Manual.
5 Reviewed by owner/manager for retrieving and reconciling pump totals using manager keypad.
6 Reviewed by owner/manager for price setting procedures using Point of Sale (POS) and manager keypad.
7 Reviewed by owner/manager for when and how to switch dispensers to standalone operation.
8 Reviewed by owner/manager for Encore 500/500 S/700 S V1.8.00 and later software units, security procedures for station approval of programming access by service technicians.
9 Advised owner/manager that nondefault PIN (access) codes are to be installed as part of commissioning to enhance security after explaining security benefits and that lost-code
additional-service labor will not be covered by warranty. If station refuses to allow nondefault PIN codes to be used, do not modify codes and do not check box to the right (will not
invalidate warranty).
10 CRIND device only: Provided Universal Serial Bus (USB) Printer Maintenance Cards to manager.
11 CRIND device only: Reviewed by owner/manager/cashiers and applicable maintenance personnel for paper/jam removal procedures, specific paper requirements, and how to order and
replace CRIND paper.
12 Reviewed by owner/manager and applicable maintenance personnel for periodic maintenance inspections (leaks, rust, hanging hardware, belts, etc.) and recommended frequency
(refer to MDE-3893 Encore and Eclipse Series Owner’s Manual).
13 Station owner/manager was given an Owner’s Manual (MDE-3893 Encore and Eclipse Series Owner’s Manual) and received explanation of information in the manual.
14 Station owner/manager was given an Owner’s Programming Manual (MDE-4732 Encore and Eclipse Series Owner’s Programming Manual), received explanation of information in the
manual, and advised on keeping programming information secure.
15 Station owner/manager received information about noncompliance that can affect warranty or station safety when all forms were not completed or problems were discovered.
Required Signatures
Station Manager Information (station manager must check one of the following and sign)
I have been advised that either some equipment inspections have not been completed or problems requiring correction were found during
A I have been advised that all dispensers have B inspections. Should the equipment not have been properly installed, it may be subject to one or more of the following problems: functions
been inspected per the checklists and no improperly, fails prematurely, creates a safety hazard, and not covered by warranty. I have further been given information regarding inspections
problems were found needing correction. or corrections required. I have also been advised on how to correct these situations and provide results to the commissioning ASC to ensure
warranty coverage. If there is a safety infraction, detail on another sheet and have owner sign.
Station Manager Name (print): Signature: Date:
Commissioning ASC Name:
ASC Technician Number: Signature: Date:
Note: This is a two-part form. Top (original) - Keep for your records. Bottom sheet - Give to station owner.