(Form - A-2)

APPLICATION FORMAT FOR THE INSPECTION OF H.T. (UPTO 33KV) INSTALLATION BY THE O/O
CHIEF ELECTRICAL INSPECTOR TO GOVT., HARYANA.
(Note: Please read the Procedure/Instructions before filling the Form and write/tick the relevant).

Sub Centre: Faridabad

DETAIL OF THE SUB STATION/GENERATING SET
a Name of the Applicant indicating location of the
installations
b Voltage ratio/Level
c Capacity of transformer/Generator/ Solar
d Sanctioned Load/contract demand
e Earth resistance results of Transformer/Generator/ Pit No. 1 _0.86Ω_ Pit No. 2 _0.98Ω_ Pit No. 3 _0.67Ω_
Solar
Pit No.4 _093.Ω_ Pit No. 5 _0.77Ω_ Pit No. 6 _0.79Ω_
Pit No.7 _093.Ω_ Pit No. 8 _0.77Ω_ Pit No. 9 _0.79Ω_
f Insulation resistance of T/F at ___ ºc HT side R-E = ; Y-E= ; B-E =
g Insulation resistance of T/F at ___ ºc LT side R-E = ; Y-E= ; B-E =
h Dielectric test (BDV) of oil
i Location of the Lightening Arrestor Within 100 mtr Radis
j Insulation resistance of Generator Set at ___ ºc R-E = ; Y-E= ; B-E =
k Protection scheme provided on the Generator Set NA
l OCC/SCC tests of Generator attached? NA
m Excitation system and AVR tests attached? Attached
n Manufacturer’s test certificate of the equipment Attached
o Name & Designation of responsible Supervisory
Officer with contact No.

It is certified that the installation mentioned above has been checked by me/Competent Authority and the
work has been executed according to CEA (Measures relating to Safety & Electric Supply) Regulations, 2010
under the supervision of competent Electrical Supervisors and is now complete in all respects.

Signature of Licensed Electrical Contractor Signature of Owner/XEN/SDO/Authorised Engineer-

Licence No: Incharge Seal
Date: Designation : Executive Director
Address: