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Feeder :
Data
Manufacture : Breaking Cap :
Model / Type : S/N :
Rated Voltage : Year :
Rated Current :
1. Visual Inspection
- Name Plate : Complete / Not Complete
- Bushing / Isolator : Good / Not Good
- SF6 Pressure *) : N/A
- Pressure Relay : N/A
- Grounding System : Good & Connected / Not Good & Not Connected
2. Duty Cycle Operation : Good / Not Good
3. Auxiliary Contact : Good / Not Good
4. Close / Open Indicator : Good / Not Good
5. Pole Discrepancy : Good / Not Good
6. Interlock System : Good / Not Good
Line to Ground
T
GI ……………………..
CIRCUIT BREAKER TEST
REPORT
Page 2 of 2
12. Remark
Name :
Date :