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Project Procedure Equipment

Installation Check Automatic Transfer Switch with Bypass-Isolation Switch (ATS/BPS) Procedure Participants

Project Mgr Procedure ID Equip Tag/ID

IC

Please Print Name Company Name Company Name Company Initials Signature Initials Signature Initials Signature Basis of Test Spec Section Submittal # Dwg. Other

Please Sign

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

13. 14.

15.

Equipment Data Equipment data (compare nameplate data with approved submittal) a) Make : Model: b) SL # : c) Short Time rating : KA for one second d) Type: Automatic Transfer Switch with Bypass-Isolation Switch (ATS/BPS) e) Enclosure: NEMA 1A gasketed or better (Write NEMA #............ ) f) Electrical: A, V, 3 Phase, 50 Hz, Procedure Location: The unit free of visual damage The unit interior clean and free of all shipping materials Unit installed on concrete pad The installation is leveled and plumbed Vibration isolator / Seismic Restraint provided (write N/A in ?notes? if not required) All switch contacts are plated All contacts are removable and replaceable. Copper lugs provided for cable termination Ground termination lugs provided. The unit is complete with a built-in microprocessor based controller LED lamps provided for ATS source indication a) RED LED lamp for Emergency source b) GREEN LED lamp for normal source Permanently fixed Bypass and isolation handles provided Bypass handle has three distinct positions: a) Bypass to normal b) Automatic c) Bypass to emergency Isolation handle has three distinct positions a) Closed

Result Initials Date Y/ Y/ Y/ Y/ N N N N

Notes

Y/ N Y/ N Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ Y/ N N N N N N N N N N N N N N N

Y/ N Y/ N Y/ N Y/ N

Ensure that all safety procedures are followed while completing this form. If a conflict exists between this check sheet and prevailing construction documents, the construction documents will take precedence over the check sheet. If a response to an item is “N,” the issue will require explanation in the ?Note? section and also implies that a ?Field Issue Report? has been generated. Page: 1 / 2 Version: 0.01

Project Procedure Equipment

Installation Check Automatic Transfer Switch with Bypass-Isolation Switch (ATS/BPS)

Project Mgr Procedure ID Equip Tag/ID

IC

b) Test c) Open 16. Power wiring installed and terminated 17. Control wiring for remote annunciation / signal installed and terminated

Y/ Y/ Y/ Y/

N N N N

# 1 2 3 4 5 6 7

Procedure Notes / issues: Description of issue

resolved Y/N

date

Notes:

Ensure that all safety procedures are followed while completing this form. If a conflict exists between this check sheet and prevailing construction documents, the construction documents will take precedence over the check sheet. If a response to an item is “N,” the issue will require explanation in the ?Note? section and also implies that a ?Field Issue Report? has been generated. Page: 2 / 2 Version: 0.01


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