CH G TEST REPORT FOR AUXILIARY RELAY

O LTE

R O U
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DOC. No. : VEPL/T&CF/AR/003/Rev : 0
VOLTECH ENGINEERS PVT. JOB REF NO : VEPL/TR/ /
V

LTD. DATE : Page No

Excellent Electrical Service

CLIENT : M/s.
PROJECT : Sheet No 1 of 1

1. Date of Erection : Date of Energization (or) :

Last Calibration :
2. Equipment Details :

LOA No :
Make :
Sl. No. :
Rated Volts :
Mfg Year :

3. Location & Feeder Name :

4. General Inspection :

5. Pick up / Drop off Check : (Using Equipments Details) Date :

Make : Range : Sl. No. Calib due Date :

Unit Ref Pick up Volts Drop off Volts

6. Functional checks : (Whether Operational Checks OK / Not OK / Not Available)

1 Wiring checks
2 Correct operation of appropriate indicator / aux. relay
3 Correct initiation of alarm contacts
4 Correct circuit breaker tripping contacts
5 Relay cover properly fixing
6 Correct operating reset switch

7. Remarks :

Test Performed by Witnessed by Witnessed by

Name : Name Name
Designation : Designation Designation
Signature & Signature & Signature &
Date Date Date