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Form : E002

MOTOR AND CONTROL CIRCUIT TEST RECORD, 480 VOLT SWGR Rev. 0
Date : ___________

SYSTEM / EQUIPMENT IDENTIFICATION


Project Equipment Name System/Package

Tag No CKT Breaker DWG No. (S/L) DWG No. (Elementary) DWG NO. (P&ID)

MOTOR NAMEPLATE DATA


Manufacturer Serial No. Model Duty

RPM L.R. Amps F.L. Amps KVA Code INS Class NEMA DES. Frame Volts S.F. HP (OR KW)

Driveeend Bearing # Non Drive end Bearing # Type 0

CUBICLE AND INSTALLATION DATA


Breaker Size AF/AT Contactor Size O/L Relay Setting O/L C.T. Ratio Power Cable No

N/A
Control XFMR size Control Fuse Size MTR/Skid Properly Gnded. Req'd Support Sys in SVC Terminations Complete

N/A Satisfactory N/A Satisfactory N/A Satisfactory N/A

STARTUP AND TEST DATA


Circuit Breaker Tested Cubicle Inspected Control CKT Checked Overloead Relay Checked BKR MAG Trip Checked
N/A N/A N/A

EQUIPMENT INSULATION L1- L2 L-2-L3 L3-L1

RESISTANCE * L1-Gnd L2-Gnd L3-Gnd


Rotation Viewed from Outboard End Type Lubrication Req'd
C/W CC/W
Equipment Resistance with leads in Ohms Motor Amps. Uncoupled
A-B A-C B-C Ph-N INRUSH Ph-A Ph-B Ph-C
N/A N/A
Motor Amps. Coupled : Initial Run-in or Low Speed Motor AMPS Coupled, Full Load Operating Conditions or High Speed
INRUSH Ph-A Ph-B Ph-C INRUSH Ph-A Ph-B Ph-C
N/A N/A
Measured RPM Motor Space HTR Amps RTD/TC Loops Verified DCS Alarm inputs checked DCS Status Inputs Checked

N/A N/A Satisfactory N/A Satisfactory N/A


Measured Voltage L-1-L-2 L1-L-3 L-2-L3

Note : * Phase to Phase IR applicable only where possible


Remarks

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