RTDX RTD With Head Mounted Document No.

REV
Transmitter Calibration Protocol -P109 -
Issuing Department: Take over Department: Reviewing Department Document Type:
PG SU EN PEN PS FS COM PG SU EN PEN P
Prepared: Checked: Approved: Language Page:1 OF 1
Sachin Jadhav Hetal Sodagar Chandrashekar Gunti En
(PG SU JF QA1) (PG SU EN PEN) (PG SU EN PEN)

CUSTOMER :
PROJECT : Date:

A. Instrument Type : RTD (Pt100) with Head Mounted TX.

1. Instrument Make & Model No :
2. Instrument Sr. No :
3. Instrument Tag No :
4. Instrument Application :
5. Instrument /Calibration Range :
6. Transmitter output : 4 – 20 mA (2 Wire)
7. Instrument Model No :
B. Details of Instrument used for calibration
1. Name, Make & Model No. :
2. Range & Sr. No. :
3. Calibration Certificate No & Calibration Due Date:
4. Calibration Status :
C. Allowable Deviation : +/-0.25% of FSD
D. Calibration Reading Table
Applied
Input Temperature Transmitter Output Current (mA) Deviation
Sr. No. Percentage (Deg C) Result
% Measured
Inc ­ Dec ¯ Actual Inc ­ Dec ¯
Inc ­ Dec ¯

1 0

2 25

3 50

4 75

5 100

E. Accepted: Rejected:
F. Remarks If Any:

Testing Engineer Siemens Engineer Customer

Date: Date: Date:
Name: Name: Name:

We reserve the rights in this document and in the information contained therein. Reproduction, use or disclosure to third parties without express authority is strictly
forbidden. © SIEMENS Ltd.

Format No.: IP-Q-F-3009/2

Rev.Date:04.02.2014