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ANNUAL BREAKER PANEL MAINTENANCE JOHN MOORE'S 31 POINT CHECKLIST hn Ory Client Name. JOHN MOORE SERVICES 1-877-730-2525 ‘Address —_________ sg. sam ston Phy. N.S 200, Howto, Texas 77064 City State Zip. Date, ‘wiv JohnMooreServces.com Year home was built Last Electrical Inspection Date Work Order Number. Panel Info: 4100 1125 1150 4200 Age. Manufacturer 1Llsthe enclosure secure tothe structure? I Yes C1 No Comments: 2.lsitgrounded properly? Yes I No Comments 3.Propersized feeder wire to main breaker? Yes C1No Comments: 4.Copper oraluminum circuits? 1 Copper 1 Aluminum Comments: 5.IsNoalox needed for dissimilar metals? Yes INo Comments: 6.Are the branch circuits wired correctly tothe over current protection breaker? Yes 1.No Comments 7. Are the AIC circuits sized correctly to the name plate rating ofthe unit? Yes No Comments: 8. Are there any signs of over-heating tothe wires? (Discoloration, bubbles, melting)‘ Yes Q.No Comments 9.Isthe panel enclosure bonded tothe ground bar? 1 Yes C1 No Comments: 10.Are the grounds and neutrals properly terminated? Yes LANo Comments: 1.Isthere an additional ground bar? Yes No fso,isit bonded properly? (A Yes L1No Comment 12.Isanything in the panel double-lugged? I Yes CA No Comments: 13.Areall the connectionstight? 1 Yes LUNo Comment 14.Istherea main breaker? Yes LNo Comments: 15.Isthe panel labeled? Yes SDNo Comments: 16.Isthere a ground bushing? Yes “No Comments: 17.Areall the connections tothe panel good and to-code?- Yes LNo Comments: 18, Are the branch circuits protected atthe point of entry intothe panel? 1 Yes “VNo Comments: 19. Are there any un-used openings? 1 Yes L1.No Comments: 20.If present, dothe arcfault and GFCIbreakerstest correctly? Yes LI.No Comments 21. Are there any broken mounting pieces on the panel and breakers? Yes LINo Comments 22. Are the bus bars fre of foreign materials? Pint paste, cleaners abrasives cmos residues) Yes No Comments: 23. Are there any parts that may adversely affect safe operation or mechanical integrity of equipment? (Broken, bent, deteriorated, corroded) (Yes INo Comments: 24,Does the enclosure close and atch properly? Yes ANo Comments: 25. Areal breakers UL Isted for MFG ofthe panel? Yes LI No Comment 2ulsthereadeadront? Yes CANo Comments 27. the meter can proper forthe correct power-supplying company? 1 Yes “ANo Comments: 28. [sth overhead or underground ser installedandsecuredcorety, with proper clearances? 1 Yes 1.No. Comments: 29. Dothe overhead lines have proper clearances forthe yard, driveway, structures, trees, podls,etc.? Yes No Comments: 30.Do the overhead lines have cracks or arc marksin them? Are they safe? Yes INo Comments: 31.Isthe underground risersafe? Yes No Comments: __ Code Violations If so, state reasons. Note any major problems bel ACCEPT Code Violation Repairs Iecune tial Customer Signature Date Code Violation Repairs Initial Technician Signature Date egultedby the Tera Department Lientng and Regultion, 0, Box 2157, stn Texas 7871, 1-90-03 9202 512-46-46599-wnnvieensesateneeorpsins TELI2639 90502

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