confidential

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CONFIDENTIAL
Contains Protected Critical Electric Infrastructure Information (CEII)
ReliabilityFirst
Disturbance Event Report
Report Date - mm/dd/yyyy
1.
2.
3.
4.
5.
Entity filing the report:
Date and Time of disturbance.
Date: (mm/dd/yy)
Time/Zone:
Name of contact person:
Email address:
Telephone Number:
Did the disturbance originate in
your system?
Under which NERC function are
you reporting?
Yes No
(More detail should be provided in the
Sequence of Events section below.)
6.
Brief Description of Event:
7.
Generation tripped off-line.
MW Total
List units tripped
Frequency.
Just prior to disturbance (Hz):
Immediately after disturbance
(Hz max):
Immediately after disturbance
(Hz min):
List transmission facilities (lines, transformers, buses, etc.) tripped and
locked-out. (Specify voltage level of each facility listed).
8.
9.
10.
FIRM
INTERRUPTIBLE
CONFIDENTIAL
Contains Protected Critical Electric Infrastructure Information (CEII)
Demand tripped (MW):
Number of affected customers:
Demand lost (MW-Minutes):
11. Restoration Time.
INITIAL
FINAL
Transmission:
Generation:
Demand:
12. Sequence of Events:
13. Identify root cause of the disturbance:
14. Identify any protection system misoperation(s):
15. Additional Information the helps to further explain the event (if needed,
including diagrams):
2
ReliabilityFirst Corporation
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