Areva MCAG 39 - Page 13

Page 12
✁
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