Title Page
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Conducted on
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Prepared by
Field Device Commissioning Report
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Add New Device
Device/Equipment
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Device/Equipment Description
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Voltage
- 600VAC
- 480VAC
- 240VAC
- 208VAC
- 120VAC
- 12VDC
- 24VDC
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Amperage
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Has a short circuit test been performed?
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Impedance to Ground Value
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Any additional Info on the Device/Equipment
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Qualified Revamp Personnel Signature
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Date of Commissioning.
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Job Number
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Number of Hours to complete Commissioning and Testing Procedure.