Auxiliary Relay Test Form

• Site conducted

• Conducted on

  Date

• Engineer

• Location
  Address

• Substation

• Circuit Reference

• Manufacturer

• Type / Model

• Serial Number

• Function

• Rating

• Software or Hardware Version

Physical Checks

• Is the relay free from mechanical damage and defects?

  Satisfactory

  Unsatisfactory

  NA

• Operating Coil Supply - Volts

Secondary Injection - Attracted Armature Element

Relay

• Measured Pick-Up

• Measured Drop-Off

• Voltage measured to produce operation

• Within tolerance (10%)

  Satisfactory

  Unsatisfactory

  NA

• Contacts operating correctly

  Satisfactory

  Unsatisfactory

  NA

Sign off

• Date

  Date

• Engineer

  Sign