GENTEC DISTRIBUTION CORP.

25 Gentec Drive, Mahabang Parang, Binangonan Rizal, Philippines 1940

FACTORY TEST REPORT

Automatic Transfer Switch Test Report

Source 1 Source 2
Set-up Operation ATS Status PASS FAIL Remarks
(Normal) (Emergency)
1 PRESENT NOT PRESENT ATS SOURCE 1 ☐ ☐ SUPPLY FROM SOURCE 1

2 Normal PRESENT PRESENT ATS SOURCE 1 ☐ ☐ SUPPLY FROM SOURCE 1

(Manual)
3 NOT PRESENT PRESENT ATS SOURCE 1 ☐ ☐ NO POWER SUPPLY TO LOADS

4 NOT PRESENT NOT PRESENT NO STATUS ☐ ☐ NO POWER SUPPLY TO LOADS

5 PRESENT NOT PRESENT ATS SOURCE 2 ☐ ☐ NO POWER SUPPLY TO LOADS

6 Emergency PRESENT PRESENT ATS SOURCE 2 ☐ ☐ SUPPLY FROM SOURCE 2

(Manual)
7 NOT PRESENT PRESENT ATS SOURCE 2 ☐ ☐ SUPPLY FROM SOURCE 2

8 NOT PRESENT NOT PRESENT NO STATUS ☐ ☐ NO POWER SUPPLY TO LOADS

9 PRESENT NOT PRESENT ATS SOURCE 1 ☐ ☐ SUPPLY FROM SOURCE 1

10 PRESENT PRESENT ATS SOURCE 1 ☐ ☐ SUPPLY FROM SOURCE 1

11 AUTO NOT PRESENT PRESENT ATS SOURCE 2 ☐ ☐ SUPPLY FROM SOURCE 2

12 NOT PRESENT NOT PRESENT NO STATUS ☐ ☐ NO POWER SUPPLY TO LOADS

ATS BACK TO
13 PRESENT PRESENT
NORMAL ☐ ☐ SUPPLY FROM SOURCE 1

Remarks

Inspection/Testing By: Supervised By:

Signature Over Printed Name Signature Over Printed Name

Date: Approved By:

Signature Over Printed Name

Witnessed By: Date:

Customer Representative

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