6
s Siemens Industry, Inc.
Siemens WL Low Voltage Circuit Breaker Test Report
Customer: Location:
Substation: Feeder/Cubicle: Unique ID:
Catalog Number: Fixed/DO: Frame Amps:
Breaker ID Frame Size: Rating Plug:
Charging Motor Volts: 1st Shunt Trip Volts: Clos e Coil Volts:
2nd Shunt Trip Volts: UVR Volts: Reset Coil Volts:
ETU Type: ETU 745
ETU 748
ETU 776
GF A/T?
GF A?
Display Y
N
As Found As Left As Found As Left
Long Time PU Long Time Delay
Short Time PU Short Time Delay
Instantaneous PU Neutral PU
Ground Fault PU GF Delay
GF Mode Direct
Sum
Direct
Sum
Ground Alarm PU
Environment Indoor
Outdoor
Clean
Dirty
Dry
Damp
W et
Temp (deg C)
Main Contact Condition / Alignment Control W iring Code Legend
Arcing Contact Condition / Alignment Primary Finger Clusters A = Like New Condition
Arc Chute Condition Frame Condition B = Good Condition
Open / Close Indicator Breaker Cleanliness C = Poor Condition Requires Correction
Ready-to-Close Indicator Manual Close / Trip D = Corrections Made -or- Part Replaced
Lubrication Electric Close / Trip E = Unacceptable Condition. Do Not Use!
Mechanical Condition Manual Charging R = Reconditioned
Insulation Motor Charging NA = Not Applicable
Sliding Disconnects Racking & DO Mechanism
SensorTests:
L1: Pass
Fail
L2: Pass
Fail
L3: Pass
Fail
N: N/A
Pass
Fail
G: N/A
Pass
Fail
Trip Test:
L: Pass
Fail
S: Pass
Fail
I: Pass
Fail
N: N/A
Pass
Fail
G: N/A
Pass
Fail
ETU Status LED
Steady
Flashing
Note: The tests above were performed with the Siemens Hand-Held Test Set (WLTS)
Satisfactory for Continued Service:
Requires Repair:
Repairs Made During Maintenance:
Job #: Tested By: Date: