Title Page

  • Location
  • OCR Number

  • Test date

  • Test Crew

Recloser settings

  • Ground trip selector

  • Lockouts selector

  • Phase trip selector

  • Minimum ground trip

  • Minimum phase trip

  • Alt. Minimum ground trip

  • Alt. minimum phase trip

  • Ground trip switch

  • Recloser switch

  • Gnd trip timing plug / curve (f)

  • Gnd trip timing plug / curve (s)

  • Ph. Trip time plug/ curve (f)

  • Ph. Trip time plug / curve (s)

  • Reclosing intervals

  • Reset delay

Recloser Minimum Trip Current Test

Ground minimum trip

  • Expected

  • Actual

A phase minimum trip

  • Expected

  • Actual

B phase minimum trip

  • Expected

  • Actual

C phase minimum trip

  • Expected

  • Actual

Recloser trip time test

Ground - fast trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

Ground - slow trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

A phase - fast trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

A phase - slow trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

B phase - fast trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

B phase - slow trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

C phase - fast trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

C phase - slow trip

  • Test current

400% min. Trip

  • Expected

  • Actual

200% min.trip

  • Expected

  • Actual

  • # of trips

Additional testing information

  • Lockout

  • Reclosing

  • Non-Reclosing

Battery v.

  • AF

  • AL

Counter

  • AF

  • AL

  • Auto-Xfer

  • Test notes

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.