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6. What did happen?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
7. When did the fault occur?
Instant Yes/No Intermittent Yes/No
Time delayed Yes/No (Delete as appropriate).
By how long? ___________
8. What indications if any did the relay show?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
9. Was there any visual damage?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
10. Any other remarks which may be useful:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
______________________________________ _______________________________________
Signature Title
______________________________________ _______________________________________
Name (in capitals) Company name
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