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Form : E070

FUNCTIONAL CHECK TEST RECORD (SWGR) Rev. 0


Date : ___________

TESTING / EQUIPMENT IDENTIFICATION


Project Application System/package

Tag No. Dwg No (S/L) Dwg No (CWD) Dwg No (CWD) Dwg No (CWD)

EQUIPMENT NAMEPLATE DATA


Manufacturer Type Rated Voltage Control Voltage

STARTUP AND TEST DATA

A.C AUXILIARY SUPPLY CHECK

D.C AUXILIARY SUPPLY CHECK

FUSES ( CONTROL & POWER) CHECK

C.T CIRCUIT CHECK

P.T. CIRCUIT CHECK

CIRCUIT BREAKER/ CONTACTOR PERFORMANCE CHECK

TRIP CIRCUIT CHECK

TRIP RELAY CHECK

INDICATION LAMPS & FLAGS CHECK

ALARM SYSTEM CHECK

REMOTE OPERATION CHECK

WIRING CHECK

PROTECTION RELAYS FUNCTIONAL CHECK

Test Equipment used Model Cal. Due Test Equipment used Model Cal. Due

Signature Name Company Date


Testing Performed By :
Witnessed by : SBG
Witnessed by : SAMGE
Witnessed by : EWI
Witnessed by : SCECO