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General Information

Module Part No.: ______________________________________________

Module serial number: ______________________________________________

Date/Time: ______________________________________________

Name/Telephone: ______________________________________________

Result of classification and signature 

Module status:  "Danger"  If at least one  criterion was evaluated with "Danger":  Start emergency process, secure and cordon off the area, contact Technical Support.
Module status:  "Warning"  If one or more  criteria were evaluated with "Warning"  and no criteria were evaluated with "Danger": Quarantine the components, contact Technical Support.
Module status:  "Normal"  If all  criteria were evaluated with "No":  Classification is "Normal", battery status is non-critical, battery can be transported.

Sign the test log and file it in the order folder.

Signature: ___________________________