ETHERNETSLIPRINGS.COM — MACHINE-VISION INTEGRATION WORKSHEET
BLANK REQUEST TEMPLATE — NOT A TEST REPORT OR APPROVED SPECIFICATION

Company / contact / company email:
Quantity / application:
Camera transport: GigE / USB / both / other (identify)

FOR EACH CAMERA TRANSPORT
Camera count:
Independent paths crossing the rotary interface:
Camera/model and standard version:
Image mode: resolution, pixel format/packing, FPS, payload/burst pattern:
Requested signaling mode / line rate:
Host / NIC or USB controller / driver / switches or hubs:
Actual topology and location of shared/active components:
Camera power: PoE / USB bus / external / PD review / unknown:
Power device load, roles, PSE/PD type/class or external voltage/current:
Stationary connector/pinout/locking and lead length:
Rotating connector/pinout/locking and lead length:
Complete cable/adapters/flex route:

COMMON MACHINE REQUIREMENTS
Trigger / synchronization / timing:
Lighting / motor / auxiliary circuit groups and returns/PE:
Mounting/envelope/optional center passage/drawing revision:
Motion / RPM / load / environment / duration:
Observed faults and comparison conditions, if troubleshooting:
Required camera/SDK/link diagnostics and acceptance criteria:
Requested outline, pinout, channel/dynamic evidence and report availability:
Known differences from an installed original assembly:

Email the completed request to inquiry@ethernetsliprings.com.
Camera count is not automatic rotary channel allocation. Shared paths require
an explicit topology and bandwidth/power review. No camera-standard compliance,
throughput, cable length, power, fit or dynamic performance is approved here.
Use exact camera/host documentation and controlled assembly drawings to agree
the qualification scope before ordering. Do not send confidential files through
the public form; confirm an appropriate document exchange for protected material.