UTILITY AND GENERATOR CIRCUIT BREAKER INSPECTION CHECKLIST
.
For use of this form see TM 5-694; the proponent agency is COE
SECTION A - CUSTOMER DATA
1. PLANT/BUILDING
2. LOCATION
3. JOB NUMBER
4. EQUIPMENT
5. CIRCUIT DESIGNATION
6. DATE (YYYYMMDD)
7. TEST EQUIPMENT AND CALIBRATION DATE
8. TESTED BY
SECTION B - EQUIPMENT DATA
9. MANUFACTURER
10. STYLES/S.O.
11. VOLTAGE RATING
12. CURRENT RATING
13. CIRCUIT BREAKER SIZE AND INTERRUPTING RATING
14. EQUIPMENT CLASSIFICATION
15. FREQUENCY
SECTION C - VISUAL AND ELECTRICAL/MECHANICAL INSPECTION
16.
CHECK POINT
COND*
NOTES
CHECK POINT
COND*
NOTES
EXTERIOR OF EQUIPMENT
BRACING
PROPER PHASE CONNECTIONS AND
COMPLETENESS OF ASSEMBLY
COLOR CODE
EXECTRICAL/MECHANICAL INTERLOCKS
HAZARDOUS LOCATION
PROPER GROUNDING
WORKING CLEARNACE
CONTACT RESISTANCE
ANCHORAGE
AUXILIARY WIRING
REFERENCE DRAWINGS
CHECK MANUAL OPERATION OF CIRCUIT
PROPER LUBERICATION
BREAKER AND RELAYS
RELAYS TESTED (ACCORDING TO
TIGHTNESS OF BOLTED CONNECTIONS
ELECTRICAL STUDY RECOMMENDATIONS)
EQUIPMENT IDENTIFICATION
SECTION D - ELECTRICAL TESTS
A-GRD
B-GRD
C-GRD
A-B
B-C
C-A
17.
INSULATION RESISTANCE
@
V
18. NOTES
1. MANUFACTURER'S INSTALLATION TESTS/CHECKS SHOULD BE IMPLEMENTED.
*CONDITION: A=ACCEPTABLE; R=NEEDS REPAIR, REPLACEMENT OR ADJUSTMENT; C=CORRECTED; NA=NOT APPLICABLE
**NOTE VALUE AND PHASING
DA FORM 7469-R, AUG 2002
APD LC v1.00
UTILITY AND GENERATOR CIRCUIT BREAKER INSPECTION CHECKLIST
.
For use of this form see TM 5-694; the proponent agency is COE
SECTION A - CUSTOMER DATA
1. PLANT/BUILDING
2. LOCATION
3. JOB NUMBER
4. EQUIPMENT
5. CIRCUIT DESIGNATION
6. DATE (YYYYMMDD)
7. TEST EQUIPMENT AND CALIBRATION DATE
8. TESTED BY
SECTION B - EQUIPMENT DATA
9. MANUFACTURER
10. STYLES/S.O.
11. VOLTAGE RATING
12. CURRENT RATING
13. CIRCUIT BREAKER SIZE AND INTERRUPTING RATING
14. EQUIPMENT CLASSIFICATION
15. FREQUENCY
SECTION C - VISUAL AND ELECTRICAL/MECHANICAL INSPECTION
16.
CHECK POINT
COND*
NOTES
CHECK POINT
COND*
NOTES
EXTERIOR OF EQUIPMENT
BRACING
PROPER PHASE CONNECTIONS AND
COMPLETENESS OF ASSEMBLY
COLOR CODE
EXECTRICAL/MECHANICAL INTERLOCKS
HAZARDOUS LOCATION
PROPER GROUNDING
WORKING CLEARNACE
CONTACT RESISTANCE
ANCHORAGE
AUXILIARY WIRING
REFERENCE DRAWINGS
CHECK MANUAL OPERATION OF CIRCUIT
PROPER LUBERICATION
BREAKER AND RELAYS
RELAYS TESTED (ACCORDING TO
TIGHTNESS OF BOLTED CONNECTIONS
ELECTRICAL STUDY RECOMMENDATIONS)
EQUIPMENT IDENTIFICATION
SECTION D - ELECTRICAL TESTS
A-GRD
B-GRD
C-GRD
A-B
B-C
C-A
17.
INSULATION RESISTANCE
@
V
18. NOTES
1. MANUFACTURER'S INSTALLATION TESTS/CHECKS SHOULD BE IMPLEMENTED.
*CONDITION: A=ACCEPTABLE; R=NEEDS REPAIR, REPLACEMENT OR ADJUSTMENT; C=CORRECTED; NA=NOT APPLICABLE
**NOTE VALUE AND PHASING
DA FORM 7469-R, AUG 2002
APD LC v1.00
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