QA / QC TEST REPORT
FORM
CLIENT:
PROJECT:
JOB ORDER NO:
DATE CHECKED:
PURCHASED ORDER NO. :
DATE OF DELIVERY :
TEST SUMMARY
TYPE OF ITEM
ACCESSORIES
BRAND OF
BREAKER
AND
ACCESSORI
ES
INJECTED
VOLTAGE
AUTOMATIC TRANSFER SWITCH (ATS)
MANUAL TRANSFER SWITCH (MTS)
BREAKER (ECB) MEDIUM VOLTAGE SWITCH
ENCLOSURE
LOW VOLTAGE SWITCH GEAR (LVSG)
CAPACITOR BANK
MOTOR CONTROLS
WIREWAY
PANELBOARD
METERING
ATS CONTROLLER
PILOT LIGHT/S
CLOCK TIMER / PHOTO CELL
VOLTAGE SENSING RELAY (V.S.R)
SELECTOR SWITCH
METER CENTER
ENCLOSED CIRCUIT
GEAR (MVSG) MCC
SCHNEIDER
ABB
LS
HIMEL
G.E
OTHER
S:
230V
380V
400V
415V
480V
OTHER
S:
PULLBOX
WIRE GUTTER
CABLE TRAY / RACEWAY /
OTHERS:
CURRENT TRANSFORMER (C.T)
POTENTIAL TRANSFORMER (P.T)
SHUNT TRIP / UVT
OVERLOAD RELAY
MAGNETIC CONTACTORS
OTHERS:
PRELIMINARY TEST
MTS
FUNCTION
TEST
SHEET
MATERIAL
PILOT LIGHTS (N & E)
INTERLOCKING
ATS
FUNCTION
TES
T
CONTROL BREAKER
(MCB)
OTHERS:
ENCLOSURE INFORMATION
BLACK IRON (B.I)
GALVANIZED IRON (G.I)
TYPE OF
STAINLESS STEEL
ENCLOSUR
(SUS304)
E
THICKNESS:
PILOT LIGHTS (N & E)
INTERLOCKING
CONTROL BREAKER (MCB)
CONTROLLER
NEMA 1
NEMA 12
NEMA 3R
NEMA 4X
OTHERS:
POWDER
COATING
SPECIFICATI
ONS
FLAT
WRINKLED
OTHERS:
POWDE
R
COATIN
G
COLOR
GRA
Y
BEIG
E
BLAC
K
OTHERS:
MEGGER TEST
A - B:
B - C:
C - A:
A- G :
B- G :
C- G :
A - B:
B- C :
A- N :
B- N :
C- N :
CONTINUITY TEST
C- A :
G-N :
G-N :
CHECKLI
ST
PHYSICAL APPERANCE
(ALIGNMENT)
BREAKERS
ALIGNMENT
BUSBAR
LUGS
INSULATOR
PHASE BARRIER
BASEPLATE
DEADFRONT
(ACRYLIC/HINGE/SCREW)
NEUTRAL BUS
GROUNDING BUS
UNIT & SYMBOL
MOUNTING EAR
PADLOCK
PROVISION
DOCUMENT
HOLDER
CANOPY
TUBBER (TYPE A/B)
LOUVER
HOLE PROVISION
DOOR LOCK &
KEYS
STICKERS
NAMEPLATE
VIEWING GLASS
All documents and drawing will be prepared with the following standards :
Unit
Metric (mm)
Electrical Symbols
IEC
SITE CONDITION
This equipment in compliance with this specification is designed and constructed to be
suitable for
operating at the specified rating under the following condition:
Ambient Temperature
Indoor Use: Min. of 5˚C Max. of 40˚C
¾ Outdoor Use: Min. of 25˚C Max. of 40˚C
PAINTING
All metal surfaces will be cleaned, rust proof and painted in accordance with client’s powder
coating
requirements.
Material: Epoxy Powder Coating
Thickness of Paint: 40-80micron (2 to 3 Mills)
TERMINAL LUGS
All panel termination of wire will be done by mechanical or crimping type lugs depending on
costumer’s requirement. The form of terminal lugs will be based on maker standard.
CODE AND STANDARDS
Philippine Electrical Code (PEC)
National Electrical Code (NEC)
CHECKED BY:
Technical Staff In-charge
RECEIVED BY:
Printed name and Signature