ANNEX H 70B-153
AIR CIRCUIT BREAKER TEST AND INSPECTION REPORT
Customer Date Work Order No.
Address Air Temp. Rel. Humidity
Breaker Owner/User Date Last Inspection
Address Last Inspection Report No.
Equipment Location
Owner Identification
Breaker Data:
Manufacturer Voltage Type Amperes Int. Rating
Serial No. Type Oper. Mech. Age Other N.P. Data
Test Data: Tank 1 Tank 2 Tank 3 Inspection and
Maintenance:
Ins. Res. kV, Megohms Cleaned/ See
Insp. Dirty Lubed Remarks
Contact Resistance, Microhms
Closing Speed/Opening Speed Overall Cleanliness
Reference, P.F. Test Sheet No. Insulating Members
Mfr’s. As As Mech. Connections
Adjustments: Rec. Found Left Structural Members
Arcing Contact Wipe Cubicle
Main Contact Gap Pri. Contact Fingers
Main Contact Wipe Shutter Mech.
Latch Wipe Relays
Latch Clearance Auxiliary Devices
Contact Travel Racking Device
Prop Clearance Arc Chutes
Stop Clearance Blow Out Coil
Puffers
Liner
Arc Runners
Main Contacts
Cubicle Wiring
Breaker Wiring
Heaters
Panel Lights
Bearings
Contact Sequence
Ground Connection
Counter Reading
Remarks:
Inspections and Test by: Equipment Used: Sheet No.:
© 2018 National Fire Protection Association NFPA 70B
Δ FIGURE H.3 Typical Air Circuit Breaker Test and Inspection Report.
Shaded text = Revisions. Δ = Text deletions and figure/table revisions. • = Section deletions. N = New material. 2019 Edition
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70B-154 ELECTRICAL EQUIPMENT MAINTENANCE
MEDIUM VOLTAGE VACUUM BREAKER
SHEET NO. OF
CUSTOMER DATE PROJECT NO.
ADDRESS AIR TEMP. REL. HUMIDITY
OWNER/USER DATE LAST INSPECTION
ADDRESS LAST INSPECTION REPORT NO.
EQUIPMENT LOCATION
OWNER IDENTIFICATION
BREAKER DATA:
Manufacturer Voltage Type Amps Age
Serial No. Type Oper Mech Int. Rating Other
TEST DATA: INSPECTION AND MAINTENANCE:
Ins Res @ kV A to G B to G C to G CLEAN SEE
INSP NA
LUBE REMARKS
Results In Overall Cleanliness
A to B B to C C to A
Gigaohms Insulating Members
Megohms A-L to L B-L to L C-L to L Mech. Connections
Structural Members
Contact Resistance Cubicle
Microhms - As Found Pri. Contact Fingers
Microhms - As Left Shutter Mech.
A-L to L B-L to L C-L to L
Relays
HiPot Test @ Auxiliary Devices
Racking Device
ADJUSTMENTS: Main Contacts
MFR'S. AS AS
REC. FOUND LEFT Cubicle Wiring
Erosion Indicator Breaker Wiring
Main Contact Gap Heaters
Panel Lights
Bearings
Contact Sequence
Ground Connection
Counter Reading
Remarks
Equipment Used
Submitted By
Courtesy of Northeast Electrical Testing NFPA 70B
FIGURE H.4 Typical Medium-Voltage Vacuum Breaker Form.
2019 Edition Shaded text = Revisions. Δ = Text deletions and figure/table revisions. • = Section deletions. N = New material.
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