EthernetSlipRings.com — Rotary Data Interface Request Worksheet
BLANK ENGINEERING REQUEST TEMPLATE — NOT A TEST REPORT OR CERTIFICATE
Contact: inquiry@ethernetsliprings.com

Company / contact / company email:
Quantity / destination / required date:
Model or request reference / existing drawing revision:

1. DATA / VIDEO / RF / OPTICAL PATHS
Each protocol and number of independent channels:
Source / sink or camera / PLC / host model:
Data rate, payload/frame format, bus cycle/topology, RF band or optical wavelength/mode:
PoE PSE class / required PD power, or USB power-role/PD/alternate-mode needs:

2. ADDITIONAL POWER / CONTROL GROUPS
For each group: description, circuits including returns, continuous/peak current,
working voltage (AC/DC), peak duration / duty, AC frequency if applicable:
Protective earth / grounding / insulation and separation requirements:

3. MECHANICS / ENVIRONMENT
Requested mounting style, outside diameter, body length and mounting drawing:
Optional center bore (ID), if needed:
Continuous / peak RPM, rotation direction and continuous/indexing/oscillating duty:
Temperature, vibration, cable routing and environment:
Requested protection / sealing and proposed test conditions:
For immersion: medium, depth and duration:

4. EACH PATH'S TERMINATIONS
Stationary connector coding / pinout / requested lead length:
Rotating connector coding / pinout / requested lead length:
RF connector band/reference impedance or optical end-face/fiber type:

5. REQUESTED EVIDENCE AND ACCEPTANCE PLAN
[ ] Outline / mounting drawing
[ ] Pinout / lead identification
[ ] 3D STEP availability review
[ ] Appropriate Cat5e/Cat6 characterization scope
[ ] Loaded rotating link / system test
[ ] Protocol-specific USB / video / fieldbus scope
[ ] Band-specific RF / VNA or optical scope

Record: actual issuer, specimen/sample ID, drawing/report revision, test date,
instrument and calibration identity, fixture/adapters and test reference plane.
Specify: test limit, complete path, source/sink, power load, RPM/motion,
observation duration, traffic/counter totals, units/convention and acceptance criteria.
Identify: tested conditions, exceptions and untested conditions.

Configuration targets require engineering review. A cable report is not a universal
dynamic performance approval. Document and CAD availability, authorized use,
configuration match, quotation and lead time are to be confirmed.

Email the completed request to inquiry@ethernetsliprings.com.