Title Page

  • Conducted on

  • Inspected by

Regulator Description

  • Device Map #

  • Substation #

  • Phase

Regulator Details

  • Manufacturer

  • Size

  • Serial #

  • Year Manufactured

  • Control Type

  • Peak Drag Hand Position (Raise)

  • Position of Hand

  • Peak Drag Hand Position (Lower)

  • Total Trips (Counts)

  • Number of Operations

  • Current Voltage Level

  • Power Factor

  • Amps

  • Low Voltage Reading

  • High Voltage Reading

  • Max Amps

  • Leading Power Factor

  • Lagging Power Factor

  • Compensated Voltage

  • Alerts

  • How Many?

Inspector’s Signature

  • Inspector’s Signature

  • Comments

  • Photos

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