Title Page
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Conducted on
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Prepared by
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Location
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Customer
- ACB
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Circuit Designation
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Manufacturer and Model of Switch
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Serial Number
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Current Rating
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Breaker Type
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Number of Poles
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Protection Relay Fitted?
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Model of Protection Relay
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Year of Manufacture
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Accessories Fitted
Visual Inspection
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Rear Connectors Condition?
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Arc Chute Condition
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Breaker Casing Free From Damage
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Internal Mechanism Free From Contaminants
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Signs of Heat and Acing
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Breaker Alignment in Chassis
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Control Cabling to Auxiliaries
IR Testing
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IR Test Voltage
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Tester Used
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IR L1 - L2
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IR L1 - L3
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IR L2 - L3
Ductor Testing
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Testing Parameters
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Tester Used
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L1
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L2
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L3