Job Information
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Customer
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Location
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Date of Inspection
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Job Number
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Building Name
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Campus Map
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Photo of building and outdoor inspection area
Building Audit
Switch Information
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Photo of Switch
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Photo of Switch Nameplate (if applicable)
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If there is a clear nameplate photo available, information below is optional. Please add any other information needed.
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Switch Manufacturer
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Type
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Serial Number
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Cat No.
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Feeder Information
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KV Rating (amps)
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Close Volts
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Trip Volts
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Amperage
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Switch Age / Date
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Add any other additional information here.
Transformer Information
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Photo of Transformer
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Photo of Transformer Nameplate (if applicable)
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If there is a clear nameplate photo available, information below is optional. Please add any other information needed.
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Transformer ID
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Type
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Transformer Manufacturer
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Serial Number
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Cat No.
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Phase
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KVA
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Primary Voltage
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Secondary Voltage
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Impedance
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Hz
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Hz
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Add any other additional information here.
Main Breaker Information
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Main Breaker Photo
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Photo of Breaker Nameplate (if applicable)
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If there is a clear nameplate photo available, information below is optional. Please add any other information needed.
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Main Breaker ID
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Feeder Information
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Switch Manufacturer
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Serial Number
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Cat No.
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Style No.
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Trip Unit Type
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Trip Unit Size
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Drawout or Fixed
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Add any other additional information here.
Closeout
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Inspected by:
- Craig Szubka
- Jon Puzzo
- Erik Weiss
- Dan Rinaldi
- Tony Recanati
- Jim Tartaglia
- Pete Cunningham
- Dave Hewitt
- Mike McMerriman
- Jeff Lachance
- Gary Drake
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Sign off to complete audit
