GIS Condition Assessment Report

• Client / Site

• Location
  Address

• Conducted on

  Date

• Conducted by

• ABB Inc.
  Power Products Division
  100 Distribution Circle
  Mount Pleasant, PA 15666

Customer Contact

• 2. Customer Contact Name

• Customer Contact Phone Number

• Customer Contact Email Address

Equipment Information

• GIS Type

  Select ELK-04, 145 kV ELK-04, 170 kV ELK-14 C, 245 kV ELK-14, 362 kV ELK-3 C, 420 kV ELK-3, 550 kV ELK-4, 800 kV ELK-6, 1200 kV

  • ELK-04, 145 kV
  • ELK-04, 170 kV
  • ELK-14 C, 245 kV
  • ELK-14, 362 kV
  • ELK-3 C, 420 kV
  • ELK-3, 550 kV
  • ELK-4, 800 kV
  • ELK-6, 1200 kV

• Shop Order #

Background

• Instructions: Please Create a new note of condition for each issue the customer should be aware of. Issues are automatically numbered, starting at 1, so they can easily be referred back to at another time. Include pictures whenever possible.

• Notes of Condition

Issue

• Issue Category

  Select Water Damage Gas Leak Circuit Breaker Disconnect Switch Current Transformer Voltage Transformer Local Control Cubicle Earthing Switch Bus Bar Density Monitor Modular Switchgear Monitoring Other

  • Water Damage
  • Gas Leak
  • Circuit Breaker
  • Disconnect Switch
  • Current Transformer
  • Voltage Transformer
  • Local Control Cubicle
  • Earthing Switch
  • Bus Bar
  • Density Monitor
  • Modular Switchgear Monitoring
  • Other

• What is the Priority level of this issue

  High

  Medium

  Low

  No Issue

• Issue Summary

• Recommendation

• Are Spare Parts required to resolve this issue?

  Yes

  No

  N/A

• Please List the spare parts that will be necessary

Spare Part

• Pictures of the issue

  Media

• Concluding notes from FSE

• FSE Signature

  Sign