Non-NRTL Inspection

• Document No.

• Date and Time

  Date

Part 1 - Information

• Inventory Number (scan bar code)

• Facility and Room Number
  Address

• Owner (name and badge number)

• Center / Office Name

  Select National Center for Photovoltaics Chemical & Materials Science Biosciences National Bioenergy Center National Wind Technology Center Buildings & Thermal Systems Power Systems Engineering Energy Systems Integration Facility SITE Operations Environmental, Health & Safety

  • National Center for Photovoltaics
  • Chemical & Materials Science
  • Biosciences
  • National Bioenergy Center
  • National Wind Technology Center
  • Buildings & Thermal Systems
  • Power Systems Engineering
  • Energy Systems Integration Facility
  • SITE Operations
  • Environmental, Health & Safety

• Equipment Name and Description of Function

• Manufacturer

• Model Number

• Serial Number

• Equipment Status

  Select New Modified Not Previously Approved In Use Void Retired

  • New
  • Modified
  • Not Previously Approved
  • In Use
  • Void
  • Retired

• Listing Status

  Unlisted

  NRTL Modified

  Used Outside of Listing

• Operating Environment

  Indoor/Dry

  Outdoor/Wet/Damp

  Flammable Vapor/Dust/Flyings

  Explosive Powder/Solid

Part 2 - External Inspection

• Enclosure

• Operator not exposed to any hazard:

  Approved

  Reject

  N/A

• Not damaged:

  Approved

  Reject

  N/A

• Appropriate material:

  Approved

  Reject

  N/A

• Protects contents from operating environment:

  Approved

  Reject

  N/A

• Will contain any arcs, sparks, electrical explosions:

  Approved

  Reject

  N/A

• Power Source - Cord and Plug

• Proper voltage, frequency, phasing, and ampacity rating for the plug and cord:

  Approved

  Reject

  N/A

• Select voltage:

  Select 120V - 1Φ - 3 Wire 120/240V - 1Φ - 3 Wire 120/208V - 1Φ - 3 Wire 120/240V - 3Φ - 4 Wire 120/208V - 3Φ - 4 Wire 277/480V - 3Φ - 4 Wire 240V - 3Φ - 3 Wire 480V - 3Φ - 3 Wire

  • 120V - 1Φ - 3 Wire
  • 120/240V - 1Φ - 3 Wire
  • 120/208V - 1Φ - 3 Wire
  • 120/240V - 3Φ - 4 Wire
  • 120/208V - 3Φ - 4 Wire
  • 277/480V - 3Φ - 4 Wire
  • 240V - 3Φ - 3 Wire
  • 480V - 3Φ - 3 Wire

• Not frayed or damaged:

  Approved

  Reject

  N/A

• Proper wiring of plug:

  Approved

  Reject

  N/A

• Installation according to NEC:

  Approved

  Reject

  N/A

• Connected to facility power with appropriate adaptors (e.g. foreign power supplies):

  Approved

  Reject

  N/A

• Proper loading and over current protection and/or equipment branch circuit:

  Approved

  Reject

  N/A

• Power Source - Direct Wired into Facility

• Proper voltage, frequency, phasing, and ampacity rating for the plug and cord:

  Approved

  Reject

  N/A

• Select voltage:

  Select 120V - 1Φ - 3 Wire 120/240V - 1Φ - 3 Wire 120/208V - 1Φ - 3 Wire 120/240V - 3Φ - 4 Wire 120/208V - 3Φ - 4 Wire 277/480V - 3Φ - 4 Wire 240V - 3Φ - 3 Wire 480V - 3Φ - 3 Wire

  • 120V - 1Φ - 3 Wire
  • 120/240V - 1Φ - 3 Wire
  • 120/208V - 1Φ - 3 Wire
  • 120/240V - 3Φ - 4 Wire
  • 120/208V - 3Φ - 4 Wire
  • 277/480V - 3Φ - 4 Wire
  • 240V - 3Φ - 3 Wire
  • 480V - 3Φ - 3 Wire

• Installation according to NEC:

  Approved

  Reject

  N/A

• Proper loading and over current protection and/or equipment branch circuit:

  Approved

  Reject

  N/A

• Grounding:

• All non-current carrying exposed metal is properly bonded and grounded (ground continuity test: less than 1 ohm to ground pin/conductor):

  Approved

  Reject

  N/A

• Ground conductor included if required:

  Approved

  Reject

  N/A

• External auxiliary ground (termination adequate):

  Approved

  Reject

  N/A

• Equipment ground is run with circuit conductors:

  Approved

  Reject

  N/A

• Marking and Documentation:

• Hazards marked, including stored energy:

  Yes

  No

  N/A

• Power requirements marked (voltage, current, frequency):

  Yes

  No

  N/A

• Restriction and limitation of use:

  No

  Yes

  N/A

• Add restrictions or limitations here:

• Make/Model/Drawing number marked:

  Yes

  No

  N/A

• Documentation adequate:

  Yes

  No

  N/A

Part 3 - Internal Inspection

• Internal Wiring:

• Polarity correct:

  Approved

  Reject

  N/A

• Phasing correct:

  Approved

  Reject

  N/A

• Landing do ground correct:

  Approved

  Reject

  N/A

• All non-current carrying internal subsystems are properly bonded:

  Approved

  Reject

  N/A

• Separated - line voltage and high voltage from low voltage:

  Approved

  Reject

  N/A

• Wiring terminal and leads okay:

  Approved

  Reject

  N/A

• Wire sizes adequate:

  Approved

  Reject

  N/A

• Proper dielectric:

  Approved

  Reject

  N/A

• Clearance/Creepage distances for high voltage okay:

  Approved

  Reject

  N/A

• Listed conductors, if applicable:

  Approved

  Reject

  N/A

• Other Internal Issues:

• Neat workmanship:

  Approved

  Reject

  N/A

• Listed components used:

  Approved

  Reject

  N/A

• Proper management of conductors:

  Approved

  Reject

  N/A

• Free of sharp edges:

  Approved

  Reject

  N/A

• Adequate cooling:

  Approved

  Reject

  N/A

• No debris:

  Approved

  Reject

  N/A

• Automatic discharge of high voltage capacitors:

  Approved

  Reject

  N/A

Part 4 - Other Considirations

• Other Requirements:

• Procedures to use (SOP):

  Yes

  No

  N/A

• Training and qualifications to use:

  Yes

  No

  N/A

• Secondary Hazards: created by this equipment

• rf hazards:

  No

  Yes

  N/A

• Sub rf hazards:

  No

  Yes

  N/A

• DC electric or magnetic fields:

  No

  Yes

  N/A

• IR, visible, or UV:

  No

  Yes

  N/A

• X-rays:

  No

  Yes

  N/A

• Fire, electrical explosion:

  No

  Yes

  N/A

• Are workers protected from these hazards:

  Yes

  No

  N/A

• Failure Analysis:

• Effect of ground fault:

  Approved

  Reject

  N/A

• Effect of short circuit:

  Approved

  Reject

  N/A

• Effect of interlock failure:

  Approved

  Reject

  N/A

• Effect of overload:

  Approved

  Reject

  N/A

• Effect of incorrect setting:

  Approved

  Reject

  N/A

• Maintenance:

• Any safety issues with access and maintenance:

  No

  Yes

  N/A

Approval Section

• NOTE: Approved equipment will be installed and used in accordance with the instructions provided by the designer/builder and ESO.

• Condition of usage. (Include all designer/builder instructions, drawings, or information that is relevant to the safe installation and use of this equipment. Attach additional sheets as necessary.)

• Attachments

  Yes

  No

• Sketch

  Drawing

• Pictures

  Media

• Result

  PASS

  FAIL

• Notice of Non-Compliance Issues

  Yes

  No

• Issues

• PLEASE CALL FOR RE-INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. APPROVAL IS REQUIRED.

• This equipment is APPROVED/REJECTED for installation or USE at NREL. IF THIS EQUIPMENT IS MODIFIED, DAMAGED, OR UTILIZED FOR OTHER THAN THE INTENDED USE STATED ABOVE, THIS APPROVAL IS VOID, PENDING RE-EXAMINATION.

• Approved

• Rejected

• Inspector

  Sign

• This inspection has been performed in accordance with the National Electrical Code , NFPA 70E, and the NREL LLP for Electrical Safety.

• National Renewable Energy Laboratory
  15013 Denver West Parkway - Golden, CO 80401