LOW VOLTAGE CIRCUIT BREAKER TEST REPORT

Testing Company: Address: Customer: Address:

Phone: Contact Name: Job/Contract #: Date:

Phone: Contact Name: Equipment Type:

BREAKER NAME PLATE DATA

Mfg: Standard: Family: Interrupt Rating: Breaker Type: Serial #:

TRIP UNIT DATA

Family: Type: Serial #:

TRIP UNIT BASIC PROTECTION SETTINGS

Parameter Sensor Rating (In) LT Switch Setting (Io) Long Time Pickup (Ir) Long Time Delay (tr) Inverse Definite Min.Time Lag (Idmtl) Short Time Pickup (Isd, Im) Short Time Delay (tsd) Instantaneous Pickup (Ii) Ground Fault Pickup (Ig) Ground Fault Delay (tg) Ground Fault Push to Trip Button FFTK File Name: Parameter Long Time Pickup (Ir) Short Time Pickup (Isd, Im) Instantaneous Pickup (Ii) Ground Fault Pickup (Ig) x Ir Sec x In x In Sec A A A As Found As Left As Tested A x In x In Sec I2t Current Level A A A

Empty
Test Current Level x Ir x Ir x In x In

Automatic Test Results

Trip Time Status

Comments

Schneider Electric

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CIRCUIT BREAKER INSPECTION

Item Switch Indicator Auxilliary Switch (OF) Alarm Switch (SD) Overcurrent Trip Switch (SDE) Cell Switch (CE/ CD/ CT/ ) Auxiliary switch (EF ) Ready to Close Switch (PF) Early Make/ Break Switch (CAO/ CAF) Programmable Contact Module (M2C/ M6C) Electrical Accessories Motor Operator (MCH) Shunt Trip (MX) Shunt Close (XF) Undervoltage Trip (MN) Electrical Push to Close (BPFE) Remote Reset (RES) Mechanical Operation/ General Inspection Open/ Close/ Push to Trip operation Operation Counter Main Contacts Arc Chutes Control Wiring Connections Primary Power Connections Ground Connection Breaker Keylock/ Padlock Cradle Keylock/ Padlock Drawout Racking Mechanism Door Interlock Cable Door Interlock Racking Interlock Shutter operation I-line Jaws Inspection Breakers Cable/ Rod Interlock Breaker mounting hardware Cradle mounting hardware General Appearance and Cleanliness Status Notes

Comments

Schneider Electric

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Trip Curve - Unavailable

t (s)

10

x Ir
Minimum Maximum

TRIP UNIT DATA Family: Type: Serial #: Sensor Rating (In) LT Switch Setting (Io) Long Time Pickup (Ir) Long Time Delay (tr) Inverse Definite Min.Time Lag (Idmtl) Short Time Pickup (Isd) Short Time Delay (tsd) Short Time Pickup (Im) Instantaneous Pickup (Ii) Ground Fault Pickup (Ig) Ground Fault Delay (tg)

Note: This trip curve is for reference only. It represents typical operation and may not be identical to other published trip curves. Comments

Schneider Electric

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Click link below to view instructions 48155-445-01.pdf

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In use Language

English Language

Circuit Breaker Test Report Input Form Circuit Breaker Test Report Input Form LOW VOLTAGE CIRCUIT BREAKER TEST REPORT LOW VOLTAGE CIRCUIT BREAKER TEST REPORT GENERAL INFORMATION GENERAL INFORMATION Testing Company: Testing Company: Customer: Customer: Address: Address: Phone: Phone: Contact Name: Contact Name: Job/Contract #: Job/Contract #: Date: Date: Equipment Type: Equipment Type: BREAKER NAME PLATE DATA NAME PLATE DATA BREAKER Mfg: Mfg: Square D Square D Merlin Gerin Merlin Gerin Federal Pioneer Federal Pioneer Federal Pacific Federal Pacific 0 Family: Family: Compact Compact Master Pact Master Pact Power Pact Power Pact 0 Breaker Type: Breaker Type: Standard: Standard: IEC IEC UL UL ANSI ANSI CCEE CCEE 0 Interrupt Rating: Interrupt Rating: Serial #: Serial #: TRIP UNIT DATA Family: Micrologic STR ET TRIP UNIT DATA Family: Micrologic STR ET

0 Type: Type: Serial #: Serial #: CIRCUIT BREAKER INSPECTION CIRCUIT BREAKER INSPECTION Item Item Status Status Notes Notes Switch Indicator Switch Indicator Auxilliary Switch (OF) Auxilliary Switch (OF) Alarm Switch (SD) Alarm Switch (SD)

Overcurrent Trip Switch (SDE) Overcurrent Trip Switch (SDE) Cell Switch (CE/ CD/ CT/ ) Switch (CE/ CD/ CT/ ) Cell Auxiliary switch (EF ) Auxiliary switch (EF ) Ready to Close SwitchReady to Close Switch (PF) (PF) Early Make/ Break Switch (CAO/ CAF) Switch (CAO/ CAF) Early Make/ Break Programmable Contact Module (M2C/Contact Module (M2C/ M6C) Programmable M6C) 0 Electrical AccessoriesElectrical Accessories Motor Operator (MCH)Motor Operator (MCH) Shunt Trip (MX) Shunt Trip (MX) Shunt Close (XF) Shunt Close (XF) Undervoltage Trip (MN) Undervoltage Trip (MN) Electrical Push to Close (BPFE) Push to Close (BPFE) Electrical Remote Reset (RES) Remote Reset (RES) 0 Mechanical Operation/Mechanical Operation/ General Inspection General Inspection Open/ Close/ Push to Trip operationPush to Trip operation Open/ Close/ Operation Counter Operation Counter Main Contacts Main Contacts Arc Chutes Arc Chutes Control Wiring Connections Wiring Connections Control Primary Power Connections Power Connections Primary Ground Connection Ground Connection Breaker Keylock/ Padlock Breaker Keylock/ Padlock Cradle Keylock/ Padlock Cradle Keylock/ Padlock Drawout Racking Mechanism Racking Mechanism Drawout Door Interlock Door Interlock Cable Door Interlock Cable Door Interlock Racking Interlock Racking Interlock Shutter operation Shutter operation I-line Jaws Inspection I-line Jaws Inspection Breakers Cable/ Rod Interlock Cable/ Rod Interlock Breakers Breaker mounting hardware mounting hardware Breaker Cradle mounting hardware mounting hardware Cradle General Appearance and Cleanliness General Appearance and Cleanliness 0 OK OK NA NA Failed Failed TRIP UNIT BASIC PROTECTIONBASIC PROTECTION SETTINGS TRIP UNIT SETTINGS Parameter Parameter As Found As Found As Left As Left Sensor Rating (In) Sensor Rating (In) LT Switch Setting (Io) LT Switch Setting (Io) Long Time Pickup (Ir) Long Time Pickup (Ir) Long Time Delay (tr) Long Time Delay (tr) Inverse Definite Min.Time Lag Definite Min.Time Lag (Idmtl) Inverse (Idmtl) Short Time Pickup (Isd) Short Time Pickup (Isd) Short Time Delay (tsd)Short Time Delay (tsd)

Short Time Pickup (Im) Short Time Pickup (Im) Instantaneous Pickup Instantaneous Pickup (Ii) (Ii) Ground Fault Pickup (Ig) Ground Fault Pickup (Ig) Ground Fault Pickup (IGround Fault Pickup (I /\ n) /\ n) Ground Fault Delay (tg) Ground Fault Delay (tg) Ground Fault Delay (/\Ground Fault Delay (/\ t) t) Ground Fault Push to Trip Button Push to Trip Button Ground Fault I2t I2t Current Level Current Level On On Off Off TRIP UNIT TEST RESULTS TRIP UNIT TEST RESULTS Automatic Test Results utomatic Test Results A Manual Test Results Manual Test Results As Tested As Tested Pass Pass Fail Fail Aborted Aborted Tripped Tripped Error Error Timed Out Timed Out Hardware Hardware Test Current Level Test Current Level Trip Time Trip Time Long Time Pickup (Ir) Long Time Pickup (Ir) Short Time Pickup (Isd, Im) Time Pickup (Isd, Im) Short Instantaneous Pickup Instantaneous Pickup (Ii) (Ii) Ground Fault Pickup (Ig) Ground Fault Pickup (Ig) x Ir x Ir x In x In x Io x Io A A Sec Sec FFTK File Name: FFTK File Name: Comments Comments Trip Curve - Unavailable Curve - Unavailable Trip Note: This trip curve isNote: This trip curve is for for reference only. It represents reference only. It represents typical operation and may notoperation and may not typical be identical to other published be identical to other published trip curves. trip curves. WARNING WARNING HAZARD OF DAMAGE TO TRIP UNIT, FULL-FUNCTION HAZARD OF DAMAGE TO TRIP UNIT, FULL-FUNCTION TEST KIT OR PC TEST KIT OR PC Do not connect a PC to the Full-functionPC to Kit while the Full-Test Kit while the FullDo not connect a Test the Full-function function Test Kit is connected to a trip unit, even if the Full- unit, even if the Fullfunction Test Kit is connected to a trip function Test Kit and the PC are powered downPC are powered down and turned off. function Test Kit and the and turned off. If the Full-function Test Kit has been connected to a trip unit and If the Full-function Test Kit has been connected to a trip unit and a PC simultaneously, perform an additional secondary injection secondary injection a PC simultaneously, perform an additional test on the trip unit while the Full -functionwhile the is not test on the trip unit Test Kit Full -function Test Kit is not connected to a PC. This will determine whetherwill determine whether the trip unit has connected to a PC. This the trip unit has

been damaged.

been damaged.

Failure to follow this instruction can result in death, can result in death, Failure to follow this instruction serious injury or equipment damage. equipment damage. serious injury or 0 0

Espaol Idioma Forma de entrada del informe de prueba del interruptor INFORME DE PRUEBA DEL INTERRUPTOR EN BAJA TENSIN INFORMACION GENERAL Lab de pruebas: Cliente: Direccin: Telfono: Nombre Del Contacto: Nmero de asunto: Fecha: Tipo del aparato: PLACA DE DATOS DEL INTERRUPTOR Fabricante: Square D Merlin Gerin Federal Pioneer Federal Pacific Familia: Compact Master Pact Power Pact Tipo de Interruptor: Norma: IEC UL ANSI CCEE Lmite interrupcin: Nmero de serie: DATOS DE LA UNIDAD DE CONTROL Familia: Micrologic STR ET Tipo: Nmero de serie: INSPECCION VISUAL DEL INTERRUPTOR Artculo Estado Notas Contactos de sealizacin Contactos de posicin "abierto / cerrado" (OF) Contacto de seal de disparo (SD)

Contacto de seal de defecto elctrico (SDE) Contactos del chasis (CE/ CD/ CT/ ) Contacto de posicin combinado "enchufado / cerrado" (EF ) Contacto listo para cerrar (PF) Contacto adelantado "al cierre / a la apertura" (CAO/ CAF) Contactos programables (M2C/ M6C) Accesorios elctricos Motor elctrico de rearme (MCH) Bobina de disparo (MX) Bobina de cierre (XF) Bobina de disparo por mnima tensin (MN) Botn pulsador de cierre elctrico (BPFE) Rearme a distancia (RES) Mantenimiento general / Funcionamiento mecnico Apertura / Cierre / Disparo Contador de maniobras Contactos principales Camaras de corte Bornes de cableado auxiliar Conexiones de potencia Conector a tierra Enclavamiento del interruptor por cerradura / candado Enclavamiento del chasis por cerradura / candado Mecanismo de insercin del interruptor Enclavamiento de puerta Enclavamiento de puerta tipo cable Enclavamiento chasis desenchufado (puerta abierta) Funcionamiento de las persianas de seguridad Inspeccin de las pinzas del chasis Enclavamiento de interruptores por cable / varillaje Herrajes de montaje del interruptor Herrajes de montaje del chasis Apariencia general y limpieza OK N/D Defecto DE PROTECCION BASICOS DE LA UNIDAD DE AJUSTES CONTROL Parmetros Encontr Como se dej Regulador de largo retardo (In) Regulacin de largo retardo (Io) Umbral de largo retardo (Ir) Temporizacin de largo retardo (tr) Curva de disparo IDMTL Umbral de corto retardo (Isd) Temporizacin de corto retardo (tsd)

Umbral de corto retardo (Im) Umbral instantneo (Ii) Umbral de defecto a tierra (Ig) Sensibilidad de defecto diferencial (I /\ n) Temporizacin de defecto a tierra (tg) Temporizacin de defecto diferencial (/\ t) Botn de prueba de defecto a tierra I2t Nivel de corriente On Off RESULTADOS DE LA PRUEBA DE LA UNIDAD DE CONTROL Prueba automtica Prueba manual Resultado Vlido Fallo Anulado Disparado Error Fuera de tiempo Equipo Nivel de corriente de prueba Tiempo de disparo Umbral de largo retardo (Ir) Umbral de corto retardo (Isd) Umbral instantneo (Ii) Umbral de defecto a tierra (Ig) x Ir x In x Io A Seg. Nombre de archivo de prueba de la FFTK: Comentarios Curva de disparo - no disponible Nota: Esta curva de disparo es slo para referencia. Representa la operacin tpica y puede no ser idntica a otras curvas de disparo publicadas. ADVERTENCIA PELIGRO DE DAO A LA UNIDAD DE DISPARO, AL EQUIPO DE PRUEBAS DE AMPLIAS FUNCIONES O A LA PC No conecte una PC a un equipo de pruebas de amplias funciones mientras este ltimo est conectado a una unidad de disparo, aun cuando ambos el equipo FFTK y la PC estn desenergizados y apagados. Si el equipo de pruebas de amplias funciones ha sido conectado a una unidad de disparo y a una PC simultneamente, realice una prueba adicional de inyeccin secundaria a la unidad de disparo mientras el equipo de

pruebas no est conectado a la PC. Esto determinar si la unidad de disparo est daada. El incumplimiento de estas instrucciones puede causar la muerte, lesiones serias o dao al equipo.

Francais Langue Formulaire de saisie des rsultats d'essais disjoncteur RAPPORT D'ESSAIS DISJONCTEUR BASSE TENSION INFORMATIONS GNRALES Tests effectus par: Client: Adresse: Tlphone: Nom De Contact: Rfrence Tableau: Date: Type d'appareillage: Caractristiques disjoncteur Fabricant: Square D Merlin Gerin Federal Pioneer Federal Pacific Famille de produit: Compact Master Pact Power Pact Type de disjoncteur: Norme: IEC UL ANSI CCEE Pouvoir de coupure: Numro de srie: Caractristiques unit de contrle Famille de produit: Micrologic STR ET Type: Numro de srie: INSPECTION VISUELLE DU DISJONCTEUR Article Statut Notes Contacts de signalisation Contact de position " ouvert / ferm " ( OF) Contact signal dclenchement ( SD)

Contact signal dfaut lectrique ( SDE) Contact chssis ( CE/ CD/ CT) Contact de position combin " Embroch / ferm " ( EF) Contact prt fermer Contact avanc l'ouverture / la fermeture Contacts programmables M2C /M6C Accessoires lectriques Moto-rducteur Dclencheur mission de courant lectro-aimant de fermeture Dclencheur minimum de tension Bouton poussoir de fermeture lectrique Rarmement distance Contrle gnral / Fonctionnement mcanique Ouverture/ fermeture / dclenchement Compteur de manuvres Contacts principaux Chambre de coupure Raccordement filerie auxiliaire Raccordement des plages Raccordement mise la terre Verrouillages du disjoncteur par cls / par cadenas Verrouillages du chssis par cls / par cadenas Mcanisme d'embrochage du disjoncteur Verrouillage de porte Verrouillage de porte par cble Verrouillage du chssis position dbroche Fonctionnement des volets Contrles des pinces d'embrochages Contrles des inter-verrouillages par cbles / tringles Fixation du disjoncteur Fixation du chssis Aspect gnral et propret OK NA non Rglages de base de l'unit de contrle Paramtres Rgl.init. Rgl.modif. Calibre (In) Rglage Long Retard ( Io) Seuil Long Retard (Ir) Temporisation Long Retard (tr) Courbe de dclenchement IDMTL Seuil Court Retard (Isd) Temporisation Court Retard (tsd)

Seuil Instantan (Im) Seuil Instantan (Ii) Seuil dfaut terre (Ig) Seuil dfaut terre (I /\ n) Temporisation dfaut terre (tg) Temporisation dfaut terre (/\ t) Bouton poussoir dfaut Terre It Niveau de courant On Off RSULTATS D'ESSAIS DE l`UNIT de CONTRLE Rsultats de l'essai auto Rsultats de l'essai manuel Rsultat Russi chec Annul Dclench Erreur Temps de rponse Materiel Niveau du courant de test Temps de dclench Seuil Long Retard (Ir) Seuil Court Retard (Isd) Seuil Instantan ( Ii) Seuil dfaut Terre ( Ig) x Ir x In x Io A Sec Nom du fichier d`essai de la malette test ( FFTK) Commentaires courbe de dclenchement - indisponible Note: Cette courbe de declenchement est seulement une reference. Elle represente une application typique et n'est peut etre pas identique a d'autres courbes de declenchement publies. AVERTISSEMENT RISQUE D'ENDOMMAGEMENT DU DCLENCHEUR, DE LA TROUSSE D'ESSAI DES FONCTIONS COMPLTES OU DU PC Ne raccordez pas un PC la trousse d'essai des fonctions compltes alors que cette trousse est raccorde un dclencheur, mme si la trousse FFTK et le PC sont hors tension et l'arrt. Si la trousse d'essai des fonctions compltes a t raccorde un dclencheur et un PC simultanment, effectuer un essai d'injection secondaire supplmentaire sur le dclencheur pendant que la trousse 'd'essai n'est pas

raccorde un PC. Cela dterminera si le dclencheur a t endommag. Si ces prcautions ne sont pas respectes, cela peut entraner la mort, des blessures graves ou des dommages matriels.

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Other Other Other Other Other

FFTK_file Test_Type Breaker Family: Breaker Type: Interrupt Rating: Standard: Number of Poles: Trip Unit Family: Trip Unit Type: Serial Number: Hardware Version: Firmware Version: Comm Type: InVal IoVal IrVal TrVal idmtlVal ImVal IsdVal tsdVal IiVal IgVal TgVal Long Test Current Long Test Min Time Long Test Max Time Long Test Actual Time Long Test Status Short Test Current Short Test Min Time Short Test Max Time Short Test Actual Time Short Test Status Inst Test Current Inst Test Min Time Inst Test Max Time Inst Test Actual Time Inst Test Status GF Test Current GF Test Min Time GF Test Max Time GF Test Actual Time GF Test Status

Empty 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0