TRANSFORMER INSPECTION

Customer Name: Date:

Sub Name: Technician:

Unit No: Other:

NAMEPLATE INFORMATION

Manufacturer: Manufacture Date:

Serial No. kVA:

Insulation Heat Rise: °C Low Voltage: Delta / Wye

High Voltage: Delta / Wye Transformer Class:

Total Weight: lbs. kg Phase/Cycle: Ph / Hz

Impedance : %

Liquid Type: Gal. Liters kg

GAUGE READINGS & VISUAL INSPECTION LOCATION

Liquid Level:  Low  Normal  High  Outdoor  Platform .ft high

Top Liquid Temp : °C  Ground  Mezzanine .ft high

Pressure (+) Vacuum (-)  Basement  Roof .ft high

Leaks:  Yes  No  Indoor floor #  Pole .ft high

If yes, where?

ADDITIONAL EQUIPMENT
Radiators:  Yes  No Conservator:  Yes  No
Fans:  Yes  No Bushing Location(s):  Top  Side
H2O Cooled:  Yes  No  Top Enclosed  Side Enclosed
Oil Pumps:  Yes  No Valve Ext. System(s):  None  Top  Bottom
N2S:  Yes  No Top FPV in. Valve Plug
LTC Comp:  Yes  No Bottom FPV in. Valve Plug

TESTS & PACKAGES SPECIALTY TESTING

 SS  Karl Fischer  Particle Count*  Flash/Fire Point*
 PCB  OS (D877)  Particle & Filming*  Viscosity*
 LPF  Metals  DP  Corrosive & Sulfur*
 DBPC  Furan  AGE  D1816** ( 1mm  2mm)
 PCB  DBPC  Other
 DGA (Syringe #): *Additional plastic bottle required
**16oz bottle required per gap tested
 KF (Oil Sample temp.) °C

TRANSFORMERS • MOTORS • SWITCHGEAR • FIELD SERVICES

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