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Form : E073

SWITCHGEAR (LV) FUNCTIONAL CHECK TEST RECORD Rev. 0


Date : ___________

TESTING / EQUIPMENT IDENTIFICATION


Project Equipment Name 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 Current (cont.)

Serial No.

STARTUP AND TEST DATA

c Remote Operation : ( Switch SS2 in "Local" Position) Auto Manual

Close INC A Through Terminals XB2 -5 & XB2 -6

Trip INC A Through Terminals XB2 -7 & XB2 -8

Close INC B Through Terminals XB2 -5 & XB2 -6

Trip INC B Through Terminals XB2 -7 & XB2 -8

d Auto Restoration of power ( Switch SS3 in "Auto" Position )


Remote Local

Simulate under voltage on both Inc A and Inc B Breaker


Simulate voltage Present on Inc A ( By U/V Relay )
INC A Should close immediately

Simulate under voltage on both Inc A and Inc B Breaker


Simulate voltage Present on Inc B ( By U/V Relay )
INC B Should close immediately

Signature Name Company Date


Test performed by
Test witnessed by SBG
Test witnessed by SAMGE
Test witnessed by EWI
Test witnessed by SCECO