Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Transformer tag:

Building:

Electrical room #:

Manufacture:

Serial #:

Type of power

  • Normal

  • EM

Type?

  • MLO

  • MCB

  • Fused

KVA Size:

Phase

  • Single phase

  • 3 phase

Bus Type:

  • CU

  • AL

  • LOTO needed:

  • Parallel feeders:

Primary Designation

Secondary Designation

Feeder size

Number of feeders

Primary OCP

  • Amps:

Transformer Prestart Checklist

Review specs for proper requirements

  • Select date

  • Add signature

Gear intact no visible damage

  • Select date

  • Add signature

Gear mounted in place

  • Select date

  • Add signature

Seismic requirements met (if applicable)

  • Select date

  • Add signature

Torque form completed

  • Select date

  • Add signature

Grounding & Bonding completed per NEC and spec requirements

  • Select date

  • Add signature

Merger work and form is completed

  • Select date

  • Add signature

Measure primary voltage on all phases and to ground

  • Select date

  • Add signature

Measure secondary voltage on all phases and to ground

  • Select date

  • Add signature

Witness signatures:

Berg QC:

  • Add signature

Berg Foreman

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.