Cutler-Hammer Digitrip OPTIM 550 - Typical Performance Test Record Form

I.B. 29C891B
Page 39
Effective 11/98
GROUND FAULT TEST RECORD FORM
Ground Fault Test Record should be Retained by Those in Charge of the Building’s Electrical
Installation in order to be available to the Authority having Jurisdiction.
TEST DATE CIRCUIT BREAKER RESULTS
NUMBER
Figure 3-21 Typical Performance Test Record Form