Toshiba GRT100 Series Instruction Manual page 202

RETURN / REPAIR FORM
Please fill in this form and return it to Toshiba Corporation with the GRT100 to be repaired.
TOSHIBA CORPORATION Fuchu Complex
1, Toshiba-cho, Fuchu-shi, Tokyo, Japan
For: Power Systems Protection & Control Department
Quality Assurance Section
Type: GRT100
(Example: Type:
Product No.:
Serial No. :
Date:
1. Why the relay is being returned ?
 mal-operation
 does not operate
 increased error
 investigation
 others
2. Fault records, event records or disturbance records stored in the relay and relay settings are
very helpful information to investigate the incident.
So please inform us the information concerned in the incident with Floppy Disk, or filling up
the Fault Record sheet and Relay Setting sheet attached.
Model:
GRT100 Model:
 201 
101B- 22-10)
6 F 2 S 0 7 8 9