GLMedia · NovaStar CVT4K · blank check worksheet Date / event / venue / responsible technician: Converter label / variant / serial: Applicable document and version / identified firmware: Controller / model / firmware / configuration backup: Optical module at each end / references / documented compatibility: Fiber / single-mode or multimode / OS or OM / length / connectors: Documented or measured losses / method / date / outstanding checks: Source-to-destination diagram / controller ports / CVT OPT ports: Group 1–8: OPT1 / backup OPT3 / actual connections: Group 9–16: OPT2 / backup OPT4 / actual connections: CONTROL port separated from signal ports / connection: Observations before changing connections PWR / color / steady or flashing: STAT / color / steady or flashing: OPT1 / OPT2 / OPT3 / OPT4: state of each port: Working signal port / green / yellow / picture: Affected signal port / green / yellow / picture: Test to perform outside the live signal path Single segment replaced / test cable / prior verification: Ports and modules retained / observed result: Previous connection restored / next check: Recognizable image / group 1–8 / group 9–16 / correct mapping: Final configuration / incidents / removed from operation / alternative: This worksheet contains no results and does not certify tests by GLMedia.