NREL Equipment Inspection Report - duplicate

• Room/Space

  Select

• Inspected by:

• Inspection date

  Date

• Requested By:

  Select

• Choose

  Reputable Manufacturer

  Non reputable manufacturer

• Manufacturer

• Select manufacture

  Select

• Model #

• Report Number:

• Bar code

Part 1 - Information

• Phase

  Final

  Re-inspection

• Was this a Reputable Manufacturer?

  Yes

  No

• Equipment Name and Description of Function:

• Serial Number (N/A if there is not one):

• Listing Status:

  Unlisted

  NRTL Modified

  Used Outside of Listing

• Equipment Status:

  New

  Modified

  In Use

  Not Previously Approved

  Removed From Service

Part 2 - External Inspection

• Enclosure

• Operator not exposed to any hazard:

  Approved

  Disapproved

  N/A

• System Voltage and Number of Phases:

• Not damaged:

  Approved

  Disapproved

  N/A

• Appropriate material:

  Approved

  Disapproved

  N/A

• Protects contents from operating environment and an internal fault:

  Approved

  Disapproved

  N/A

• Panel interlocks and/or guarding is adequate:

  Approved

  Disapproved

  N/A

• Proper voltage, frequency, phasing, and ampacity rating for the plug and cord. Cord cap matches voltage and load. If the cord cap is not of the molded type. Verify that the cord is properly terminated in the cord cap:

  Approved

  Disapproved

  N/A

• Cord is not frayed or damaged:

  Approved

  Disapproved

  N/A

• Listed strain relief on cord:

  Approved

  Disapproved

  N/A

Part 3 - Power Source

• Direct Wired into Facility

  Yes

  No

• Verify proper voltage and ampacity for the wiring method:

  Approved

  Disapproved

  N/A

• Circuit number and panelboard that feeds equipment is identified:

  Approved

  Disapproved

  N/A

• Verify proper over current protection for the equipment branch circuit:

  Approved

  Disapproved

  N/A

• Panel schedule updated:

  Approved

  Disapproved

  N/A

Part 4- External Inspection: Grounding

• External auxiliary ground:

  Approved

  Disapproved

  N/A

• Equipment ground is run with circuit conductors:

  Approved

  Disapproved

  N/A

Part 5- Marking and Documentation:

• Hazards marked, including stored energy:

  Approved

  Disapproved

  N/A

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

  Approved

  Disapproved

  N/A

• Restriction and limitation of use:

  Approved

  Disapproved

  N/A

• Make/Model/Drawing number marked:

  Approved

  Disapproved

  N/A

• Documentation adequate:

  Approved

  Disapproved

  N/A

Part 6 - Internal Inspection

• Internal electrical parts are listed by a NRTL or UL Recognized:

  Approved

  Disapproved

• Non-listed parts are acceptable for their purpose, well built, a failure will be contained and not cause harm to others or <50 volts:

  Yes

  No

• Polarity: the neutral and line are properly terminated and that the neutral is not fused. Exception. Appliance inlet is allowed:

  Approved

  Disapproved

  N/A

• Landing of ground is properly terminated:

  Approved

  Disapproved

  N/A

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

  Approved

  Disapproved

  N/A

• Wiring terminal and leads okay:

  Approved

  Disapproved

  N/A

• Wire sizes adequate:

  Approved

  Disapproved

  N/A

• Listed conductors, if applicable:

  Approved

  Disapproved

  N/A

Part 7 - Other Internal Issues:

• Neat workmanship:

  Approved

  Disapproved

  N/A

• All non-electrical components are acceptable for their purpose:

  Approved

  Disapproved

  N/A

• Free of sharp edges:

  Approved

  Disapproved

  N/A

• Adequate cooling:

  Approved

  Disapproved

  N/A

• Automatic discharge of high voltage capacitors:

  Approved

  Disapproved

  N/A

Part 8 - Other Considerations part 2. Secondary Hazards Created by this equipment

• Are There Secondary Hazards Created By This Equipment? (e.g., RF, IR, UF, and X-ray)

  No

  Yes

• Rf Hazards:

  No

  Yes

  N/A

• Sub rf hazards:

  No

  Yes

  N/A

• DC electric or magnetic fields:

  No

  Yes

  N/A

• Light Exposure- 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

Part 9 - Other considerations Failure analysis

• Adequate to protect the equipment and personnel in the event of a ground fault, short, or overload circuit:

  Approved

  Disapproved

  N/A

• Test function of interlock:

  Approved

  Disapproved

  N/A

Part 10 - Other Considerations Maintenance

• Necessary working clearances:

  Approved

  Disapproved

  N/A

Part 11 - Test to Perform

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

  Approved

  Disapproved

  N/A

• Perform functional test of GFCI's, GFED, EMO and EPO:

  Approved

  Disapproved

  N/A

Part 12 - Approval

• Equipment complies with the NFPA 70E, 70, 79 and the NREL LLP for Electrical Safety:

  Approved

  Disapproved

  N/A

• Is there a condition of use? (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.)

  No

  Yes

• Equipment Name and Description of Function

• Serial Number

  Yes

  No

• Enter serial number

• Listing Status

  Unlisted

  NRTL Modified

  Used Outside of Listing

• Equipment Status

  New

  Modified

  In Use

  Not Previously Approved

  Removed From Service

Part 2 - External Inspection

• Enclosure

• Operator not exposed to any hazard:

  Approved

  Disapproved

  N/A

• System Voltage and Number of Phases

• Not damaged:

  Approved

  Disapproved

  N/A

• Appropriate material:

  Approved

  Disapproved

  N/A

• Protects contents from operating environment and an internal fault

  Approved

  Disapproved

  N/A

• Panel interlocks and/or guarding is adequate

  Approved

  Disapproved

  N/A

• Proper voltage, frequency, phasing, and ampacity rating for the plug and cord. Cord cap matches voltage and load. if the cord cap is not of the molded type. Verify that the cord is properly terminated in the cord cap

  Approved

  Disapproved

  N/A

• Not frayed or damaged:

  Approved

  Disapproved

  N/A

• Listed strain relief on cord

  Approved

  Disapproved

  N/A

Part 3 - Power Source

• Direct Wired into Facility

  Yes

  No

• Verify proper voltage and ampacity for the wiring method

  Approved

  Disapproved

  N/A

• Circuit number and panelboard that feeds equipment is identified.

  Approved

  Disapproved

  N/A

• Verify proper over current protection for the equipment branch circuit

  Approved

  Disapproved

  N/A

• Panel schedule updated

  Approved

  Disapproved

  N/A

Part 4- External Inspection: Grounding

• External auxiliary ground (termination adequate):

  Approved

  Disapproved

  N/A

• Equipment ground is run with circuit conductors:

  Approved

  Disapproved

  N/A

Part 5- Marking and Documentation:

• Hazards marked, including stored energy:

  Approved

  Disapproved

  N/A

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

  Approved

  Disapproved

  N/A

• Restriction and limitation of use:

  Approved

  Disapproved

  N/A

• Make/Model/Drawing number marked:

  Approved

  Disapproved

  N/A

• Documentation adequate:

  Approved

  Disapproved

  N/A

Part 8 - Other Considerations part 2. Secondary Hazards Created by this equipment

• Are There Secondary Hazards Created By This Equipment? (e.g., RF, IR, UF, and X-ray)

  No

  Yes

• Rf Hazards

  No

  Yes

  N/A

• Sub rf hazards:

  No

  Yes

  N/A

• DC electric or magnetic fields:

  No

  Yes

  N/A

• Light Exposure- 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

Part 9 - Other considerations Failure analysis

• Adequate to protect the equipment and personnel in the event of an ground fault, short or overload circuit

  Approved

  Disapproved

  N/A

• Test function of interlock

  Approved

  Disapproved

  N/A

Part 10 - Other Considerations Maintenance

• Necessary working clearances:

  Approved

  Disapproved

  N/A

Part 11 - Test to Perform

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

  Approved

  Disapproved

  N/A

• Perform functional test of GFCI's, GFED, EMO and EPO

  Approved

  Disapproved

  N/A

Part 12 - Approval

• Equipment complies with the NFPA 70E, 70, 79 and the NREL LLP for Electrical Safety.

  Approved

  Disapproved

  N/A

• Is there a condition of use? (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.)

  No

  Yes
Attachments

• Place additional attachments here. (Mark disapproved if this attachment is a fail that couldn't be captured above)

  Approved

  Disapproved

  N/A

• Result

  PASS

  FAIL

• PLEASE SET UP A RE-INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. APPROVAL IS REQUIRED BEFORE USE. Electrical Inspection Request @ https://forms.nintex.com/FormHost.aspx?id=sF-RSbROQ1b5IhoTx-rRHidHoAk_4H2YXHUYYFgJVxdtOsdRQeWMQ61tw_pAXoUsLkBVjU5hPu8VzB24wpSJC4XNT9aC0htzSvA6m8HVGnSIrYgnO6X_nBPnQAYK060T

• IF THIS EQUIPMENT IS MODIFIED, DAMAGED, OR UTILIZED FOR OTHER THAN THE INTENDED USE STATED ABOVE, THIS APPROVAL IS VOID, PENDING RE-EXAMINATION.

• Inspector

  Sign