Title Page
Panelboard Inspection Report
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Client:
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Location:
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Report Date:
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Conducted By:
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Panel Designation:
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Panel Location:
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EE Project:
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System:
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Condition:
Panelboard Inspection Report
EQUIP RATINGS
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Manufacturer
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Model/Catalog Number
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Voltage
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Amps
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MLO/MCB
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Phase/Wire
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AIC
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BUS
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Enclosure Type
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# of branch circuits utilized
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# of open spaces remaining in panel
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Breaker Type
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FED FROM
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Fed From
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#/PH
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Size
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MLO/MCB
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#/Conduits
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Conduit Size
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Wire Size
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Wire Type
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Neutral Size
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Neutral Qty
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Ground
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Iso Ground
ROTATION
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A-B-C
MEGOHMS
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A-G
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B-G
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C-G
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N-G
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A-N
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B-N
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C-N
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A-B
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A-C
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B-C
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Conducted By:
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Date:
CHECKED
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Nameplates / labels properly attached
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Panel schedule installed
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Nameplate data matches specs
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Proper mounting / anchorage
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Interior cleaned and vacuumed
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Grounding / bonding inspected
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Circuits marked or tagged
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Conductors torqued
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Bus splices torqued and checked
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All cover / dead front screws in place
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Door hardware and operation checked
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All unused openings filled
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Encore's Pre-Energization form needs to be fully completed before proceeding to voltage measurements.
VOLTAGE
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A-G
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B-G
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C-G
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N-G
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A-N
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B-N
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C-N
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A-B
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A-C
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B-C
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Conducted By:
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Date:
COMMISSION
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Factory Settings
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3rd Party Testing
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Energized
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Acceptance
GENERAL COMMENTS
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Comments