Symmetra

Quarterly
Visit site form
APC Service Representative:
Company: Service Request Number:
Company Address: Service Engineer:
City: State:
Date of Service:
Service Start Time: Service End Time:
# Hours on Site: Total Travel Time:

Location of the System :

Unit Type: Serial Number:
Company Name: Telephone:
Street Address:
City: State: Zip Code:
Installation Location:

Alt. Cont. Name:

Service Bulletins: List any Service Bulletins completed during this Site Visit.

System Configuration Information:

1. Does the system have a Service Bypass Panel?
2. If yes, record the SBP Type.
3. Does the system have a transformer?
4. If yes, record the transformer type.
5. Does the system have internal batteries?
6. Does the system have external batteries? / If yes, how many installed XR frame
7. Record the battery amount. Main Frame
XR 1
XR 2
XR 3
XR 4

Symmetra Quarterly site form

Extended Runtime Battery Enclosure and Visual & Safety Inspection:

1. Is the the integrity of the XR enclosure is in tact. Yes/No Comments:

2. Measure and record the ambient temperature.
3. Record the voltage of Battery module for Enclosure Frame Ext. Batt. Frame VDC

Battery Module 1 VDC Battery Module 17 VDC

Battery Module 2 VDC Battery Module 18 VDC
Battery Module 3 VDC Battery Module 19 VDC
Battery Module 4 VDC Battery Module 20 VDC
Battery Module 5 VDC Battery Module 21 VDC
Battery Module 6 VDC Battery Module 22 VDC
Battery Module 7 VDC Battery Module 23 VDC
Battery Module 8 VDC Battery Module 24 VDC
Battery Module 9 VDC Battery Module 25 VDC
Battery Module 10 VDC Battery Module 26 VDC
Battery Module 11 VDC Battery Module 27 VDC
Battery Module 12 VDC Battery Module 28 VDC
Battery Module 13 VDC Battery Module 29 VDC
Battery Module 14 VDC Battery Module 30 VDC
Battery Module 15 VDC Battery Module 31 VDC
Battery Module 16 VDC Battery Module 32 VDC

4. Record the end voltage of self tested battery module ( Only sampling ) Ext. Batt. Frame VDC

Battery Module 1 VDC Battery Module 4 VDC

Battery Module 2 VDC Battery Module 5 VDC
Battery Module 3 VDC Battery Module 6 VDC

5. Record the leak voltage to ground

N-G voltage

Final UPS and XR Frame Checks:

1. Record any problems encountered and corrective action suggested:

Symmetra Quarterly site form

Environment: Yes/No
1. What type of room is the system located in (data center, computer room, etc.,)?
2. Is the System environment suitable for operation?
3. Is there sufficient clearance around the system for service?
4. Is there signs of damage to the system?
5. List any customer concerns about the system.
6. Were all alarms and/or programs monitoring the UPS disabled?
7. Measure and record the ambient temperature. Specify Celsius or Fahrenheit.
8. Do the fans pass visual inspection?

InfraStruXureTM Equipment Preparation For IR Scans: Yes/No

1. Is the system On with loads applied?
2. Is the physical barrier in place?
3. List any terminations that are excessively warm?

ON-LINE DISPLAY READINGS:

1. Record the input voltages from the display interface:
L1 Input
2. Record the Battery voltages from the display interface :
Bat 1:
3. Record the Output Voltages from the display interface:
L1 Output
4. Record the Output Currents from the display interface:
L1 Output
5. Record the total load kW from the display interface:
Load (kW) Load (kVA)
6. Record the total load % from the display interface:
Load (%)

Battery Performance Check Yes/No

1. Record the Run Time displayed in the UPS PowerView
2. Perform a System Selt Test to verify battery integrity.
3. Verify the UPS returns to Normal Operation.
4. Record any problems encountered and corrective action suggested:

Final UPS and PDU Checks: Yes/No

1. The interior and exterior of the system is clean and free of debris.
2. The system is fully operational and the parameters are properly set on the UPS PowerView displays.
3. All of the UPS diagnostic parameters have been reviewed and all subsystems are ON and OK.
4. The event logs have been cleared prior to leaving the site.
5. Record any additional comments in the space provided below:

Customer Name : Signature/Date : Phone :

APC Name : Signature/Date : Phone :

Symmetra Quarterly site form