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Sample Circuit Breaker Test Record
The following form is an example of a typical report for recording results of a circuit breaker or ground fault system conformance test. This
form may be used in abscence of a preferred document (copies may be required, based on the number of circuit breakers
.
CIRCUIT BREAKER TEST RECORD
Date Tested: Circuit Breaker ID:
Tested By:
Results:
CIRCUIT BREAKER TEST RECORD
Date Tested: Circuit Breaker ID:
Tested By:
Results:
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