STL20547-000 VA Hospital Poplar Bluff MO Report_Rev0.pdf
PDF 23 MB Posted
- Attached to
- J059--Tri-Annual Electrical Testing Federal contract opportunity
- Solicitation number
- 36C25522Q0184
About this file
This federal contract opportunity summary provides details for solicitation number 36C25522Q0184 seeking tri-annual electrical testing services for the Poplar Bluff, Missouri VA Medical Center. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 is requesting proposals for electrical testing to be performed every three years at the facility. Offerors should submit responses by the date listed in the solicitation to be considered for award. The work includes on-site testing and inspection of all electrical systems and components to ensure safety and regulatory compliance. Pricing is to be provided on a firm fixed price basis for a base period and two option years. The place of performance is the Poplar Bluff VAMC.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25522Q0184 0001.docx | DOCX document | |
| Attachment (1) - Wage Determinations Incorporated by Reference.pdf | ||
| 36C25522Q0184_2.docx | DOCX document | |
| SOW Trienniel Electrical SS R1 - Final.doc | DOC document | |
| Edited VA_657A-16-101-100__ASI_001_Dwgs.pdf | ||
| FAR_7878582_JOHN J PERSHING VA MED CTR_EC154CBA02__MO - EESDUS_07022020.pdf | ||
| JOHN J PERSHING VA MEDCIAL CENTER KOHLER PM REPORT 2020.pdf | ||
| JOHN J PERSHING VA MEDCIAL CENTER GENERAC PM REPORT 2020.pdf | ||
| Edited Electrical - One-Line Diagrams - 6-14-16.pdf |
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Text version
21 Millpark Ct. • Maryland Heights, MO 63043 • Phone 314.890.9999 • Fax 314.428.3062 • www.epsii.com
S&B Services
VA Hospital – Poplar Bluff, MO
2020 Preventive Maintenance Shutdown
April 2020
EPS Job Number STL20547-000
Submitted by Electric Power Systems, St. Louis, MO
TABLE OF CONTENTS
Scope of Work
Procedures
Results
Data Sheet
Equipment List & Photos
IR Scan Report
SCOPE OF WORK
1. Electric Power Systems shall perform NETA standard testing on all equipment in buildings 1, 7 and 20. All equipment consists of MCCs, transformers, disconnects, switchboards and low voltage breakers.
2. Perform infrared survey on all agreed upon electrical distribution equipment in building
1 and 7. Survey is to include MCC, distribution panels, lighting panels and bus duct.
EPS personnel will open and remove all doors panels and shoot Infrared.
A. Use an infra-red scanning camera to detect hot spots in the Electrical Power Distribution System. Objective of this work is to detect any loose, broken, or corroded connections in the system. Problem connections shall be replaced with new connectors, and/or tightened with torque wrench to meet the equipment manufacturers’ specifications.
B. An infra-red photograph along with a written report of each piece of equipment shall be provided upon completion of this task. For equipment showing no problems, a digital photo is sufficient; no written report required.
3. Inventory the electrical system in an excel, or equal, electronic table classified by equipment type and given rating such as voltage, current, KVA, AIC/Withstand, fuse size and any other specific information listed on the nameplate. Take a digital photo of each piece of equipment, even if there is no problem.
4. Verify one-line drawings and reline any changes.
PROCEDURES
7.2.2 Transformers, Liquid-Filled
A. Visual and Mechanical Inspection
1. Inspect physical and mechanical condition.
2. Inspect anchorage, alignment, and grounding.
3. Verify the presence of PCB labeling.
4. Prior to cleaning the unit, perform as-found tests, if required.
5. Clean bushings and control cabinets.
6. Verify operation of alarm, control, and trip circuits from temperature and level indicators, pressure-relief device, gas accumulator, and fault-pressure relay.
7. Verify that cooling fans and/or pumps operate correctly.
8. Inspect bolted electrical connections for high resistance using one or more of the following methods:
a. Use of a low-resistance ohmmeter in accordance with Section 7.2.2.B.1.
b. Verify tightness of accessible bolted electrical connections by calibrated torque wrench method in accordance with manufacturer’s published data or Table 100.12.
c. Perform a thermographic survey in accordance with Section 9.
9. Verify correct liquid level in tanks and bushings.
10. Verify that positive pressure is maintained on gas-blanketed transformers.
11. Perform inspections and mechanical tests as recommended by the manufacturer.
12. Test load tap-changer in accordance with Section 7.12.
13. Verify the presence of transformer surge arresters.
14. Perform as-left tests.
15. Verify de-energized tap-changer position is left as specified.
B. Electrical Tests
1. Perform resistance measurements through bolted connections with a low-resistance ohmmeter in accordance with Section 7.2.2.A.8.1.
2. Perform insulation-resistance tests, winding-to-winding and each winding-to-ground. Apply voltage in accordance with manufacturer’s published data. In the absence of manufacturer’s published data, use Table 100.5. Calculate polarization index.
3. Perform turns-ratio tests at the designated tap position.
4. Perform insulation power-factor or dissipation-factor tests on all windings in accordance with test equipment manufacturer’s published data.
5. Perform power-factor or dissipation-factor tests on each bushing equipped with a power factor/ capacitance tap. In the absence of a power-factor/capacitance tap, perform hot-collar tests. These tests shall be in accordance with the test equipment manufacturer’s published data.
6. Perform excitation-current tests in accordance with the test equipment manufacturer’s published data.
*7. Perform sweep frequency response analysis tests.
8. Measure the resistance of each winding at the designated tap position.
*9. If the core ground strap is accessible, remove and measure the core insulation resistance at
500 volts dc.
*10. Measure the percentage of oxygen in the gas blanket.
11. Remove a sample of insulating liquid in accordance with ASTM D923. The sample shall be tested for the following.
a. Dielectric-breakdown voltage: ASTM D1816
b. Acid neutralization number: ASTM D974 *c. Specific gravity: ASTM D1298
d. Interfacial tension: ASTM D971
e. Color: ASTM D1500
f. Visual condition: ASTM D1524
g. Water in insulating liquids: ASTM D1533 *h. Measure power factor or dissipation factor in accordance with ASTM D924
i. Remove a sample of insulating liquid in accordance with ASTM D3613 and perform dissolved-gas analysis (DGA) in accordance with IEEE C57.104 or ASTM D3612.
7.6.1.2 Circuit Breakers, Air, Low-Voltage Power
1. Visual and Mechanical Inspection
1. Compare equipment nameplate data with drawings and specifications.
2. Inspect physical and mechanical condition.
3. Inspect anchorage, alignment, and grounding.
4. Verify that all maintenance devices are available for servicing and operating the breaker.
5. Verify the unit is clean.
6. Verify the arc chutes are intact.
7. Inspect moving and stationary contacts for condition and alignment.
8. Verify that primary and secondary contact wipe and other dimensions vital to satisfactory operation of the breaker are correct.
9. Perform all mechanical operator and contact alignment tests on both the breaker and its operating mechanism in accordance with manufacturer’s published data.
10. Inspect bolted electrical connections for high resistance using one of the following methods:
1. Use of a low-resistance ohmmeter in accordance with Section 7.6.1.2.2.
11. Verify cell fit and element alignment.
12. Verify racking mechanism operation.
13. Verify appropriate lubrication on moving current-carrying parts and on moving and sliding surfaces.
14. Perform adjustments for final protective device settings in accordance with coordination study provided by end user.
15. Record as-found and as-left operation counter readings.
2. Electrical Tests
1. Perform resistance measurements through bolted connections with a low-resistance ohmmeter, if applicable, in accordance with Section 7.6.1.2.1.
2. Perform insulation-resistance tests for one minute on each pole, phase-to-phase and phase-to-ground with the circuit breaker closed, and across each open pole. Test voltage shall be in accordance with manufacturer’s published data. In the absence of manufacturer’s published data, use Table 100.1.
3. Perform a contact/pole-resistance test.
*4. Test functions of the trip unit by means of secondary injection.
RESULTS
The following is a summary of results, notes, and deficiencies for the tested equipment. The test data can be found in the data sheets section of this report. Most of the switchgear, MCCs and switchboards could not be tested for insulation resistance for safety issues and to protect equipment. Where it was safe to do, the test was performed.
Low Voltage Circuit Breaker
Building 20, Switchgear 20-SB, Tie Breaker – During the high current testing, the trip unit started smoking. The breaker did not trip on LT test, ST test, Instantaneous and Ground Fault. Breaker needs possible new trip coil. The trip unit and CTs need to be replaced as well.
Building 20, Switchgear 20-SB, Main 20-D1 2 – During the high current testing, the breaker failed as it would not trip on any function. Breaker need to be serviced and a new trip unit and CTs installed.
Bus Duct
Bus Duct #1 – TAll the disconnect switches on this bus duct were open, but the insulation resistance test was still affected by connected equipment.
Bus Duct #6 - All the disconnect switches on this bus duct were open, but the insulation resistance test was still affected by connected equipment.
MCC
MCC-2 – A lot of the auxiliary devices are disconnected and not being used. There are wires hanging, wirenutted and spliced throughout the MCC.
Chillers
Chiller #1 – The ammeter does not work and the CTs are not functional. C phase contact resistance is high on the switch.
Chiller #2 – Was locked out as a new chiller was being installed. No testing was performed.
Switchgear 20-SB
When the front panels were opened to perform maintenance on the two main and tie breakers, found the A phase CT behind Main 20-D had overheated at one point. That overheating melted most of its insulation and throughout the bus and switchgear. After tracing the CT wires, EPS found spade connectors were used at the door hinge for the CTs. CT wiring should never have a point to break in the wiring and should always be shorted out before disconnecting the wires at any point. The spade connector could have caused a weak connection and may have been the cause of the CT melting. These CTs are not in use any more as the metering was upgraded previously. The melted CT was removed from the switchgear. See photos below of the melted CT and the spade connectors.
Switchgear 20-SB Melted CT and Spade Connectors
THE
DATA SHEETS
PHASE AMPACITY
CATALOG NO.
Megger Walter BahrTESTED BY:
50000, REVISED 3/6/2020www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 50 Bus Duct
SUBSTATION
DATE
1st Floor - Room 1E-110B POSITION Bus Duct #7
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F
SWITCHBOARD TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
02691183 C/P 66 Busway
INSULATING MEMBERS
CUBICLES
GROUND CONNECTIONS
AUXILIARY DEVICES
INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION
OVERALL CLEANLINESS
RDG.
20°C
RDG.
20°C
RDG.
20°C
INSULATION RESISTANCE TEST RESULTS -
ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C
363.792000818253
334.112000751496
799.66400179863
799.66400179863
767.440001726151
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
N/A
N/A
N/A
NAMEPLATE DATA
General Electric
N/A 600 V
MEGOHMS
INSULATION TEST VOLTAGE
MANUFACTURER
N/A
600 A WITHSTAND RATING
DRAWING NO.
SERIAL NO. TYPE
VOLTAGE CLASS
CONDUCTORA kA CU AL
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE
RDG.
20°C
RDG.
J-Box Including Cables
BUS SECTION TESTED
20°C
A-GND
395.168000888825
B-GND C-GND N-GND A - B A - C B - C
PHASE
N/A
N/A
N/A 0 0 0
0 0 0
0 0 0
0 0 0N/A
A PHASEBUS SECTION TESTED B PHASE C PHASE
CONTACT RESISTANCE MICRO-OHM
COMMENTS: Could not test for contact resistance. No easy access to the direct bus.
DEFICIENCIES:
1500 N Westwood Blvd
Mike Wright 573-718-1172
Megger Walter BahrTESTED BY:
50000, REVISED 3/6/2020www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 50 Bus Duct
SUBSTATION
DATE
1st Floor - Room 1E-110B POSITION Bus Duct #8
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F
SWITCHBOARD TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
02691183 C/P 66 Busway
INSULATING MEMBERS
CUBICLES
GROUND CONNECTIONS
AUXILIARY DEVICES
INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION
OVERALL CLEANLINESS
RDG.
20°C
RDG.
20°C
RDG.
20°C
INSULATION RESISTANCE TEST RESULTS -
ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C
236.59200053215
276.448000621796
478.272001075745
588.5120013237
554.592001247406
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
N/A
N/A
N/A
NAMEPLATE DATA
General Electric
N/A 600 V
MEGOHMS
INSULATION TEST VOLTAGE
MANUFACTURER
N/A
600 A WITHSTAND RATING
DRAWING NO.
SERIAL NO. TYPE
VOLTAGE CLASS
CONDUCTORA kA CU AL
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE
RDG.
20°C
RDG.
J-Box Including Cables
BUS SECTION TESTED
20°C
A-GND
259.488000583649
B-GND C-GND N-GND A - B A - C B - C
PHASE
N/A
N/A
N/A 0 0 0
0 0 0
0 0 0
0 0 0N/A
A PHASEBUS SECTION TESTED B PHASE C PHASE
CONTACT RESISTANCE MICRO-OHM
COMMENTS: Could not test for contact resistance. No easy access to the direct bus.
DEFICIENCIES:
HUMIDITY 70 6th Floor Substation
SUBSTATION
DATE
6th Floor Substation POSITION H1B
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION78 °F
MOTOR CONTROL MCC TEST REPORT
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
Ductor Walter BahrTESTED BY:
31200, REVISED 5/18/2011www.epsii.com
EQPT. INVENTORY NO.
MCC ID H1B MODEL # N/A # OF BUCKETS
General Electric N/ASERIAL # VOLTAGE
480 V
Size 100 A 100 A 200 A 400 A
Rating 600 V 600 V 600 V 600 V
A
N/A N/A N/A
B
N/A N/A N/A
C
N/A N/A N/A
A
N/A N/A N/A N/A
B
N/A N/A N/A N/A
C
N/A N/A N/A N/A
A
N/A N/A N/A N/A
B
N/A N/A N/A N/A
C
N/A N/A N/A N/A
Md #/Cat # N/A N/A N/A N/A
Type (SS or HTR)
N/A N/A N/A N/A
A
N/A N/A N/A N/A
B
N/A N/A N/A N/A
C
N/A N/A N/A N/A
A
N/A N/A N/A N/A
B
N/A N/A N/A N/A
C
N/A N/A N/A N/A
Visual Inspect
N/A N/A N/A N/A
Operation Test N/A N/A N/A N/A
Bucket ID
No Name X-Ray Main
Contact Resistance
Insulation Resistance @ 1000V
(Meg Ohms)(Micro Ohms)
Insulation Resistance @ 1000V (Control)
(Meg Ohms)
O/L Data O/L Test
(Sec)
Breaker Test
(Sec) Comments Locked Out Locked Out Fuse Resistance - A-428, B-345, C-324 Fuse Resistance - A-167, B-168, C-162
No Name
MANUFACTURER
MCC DATA
COMMENTS:
DEFICIENCIES:
HUMIDITY 70 Building 1
DATE
6th Floor Substation POSITION MCC-2
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION78 °F
MOTOR CONTROL MCC TEST REPORT
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
Ductor Walter BahrTESTED BY:
31200, REVISED 5/18/2011www.epsii.com
EQPT. INVENTORY NO.
MCC ID MCC-2 MODEL # N/A # OF BUCKETS
General Electric 88384SERIAL # VOLTAGE
480 V
Size 50 A 100 A 125 A 100 A 40 A 20 A 20 A 30 A 125 A 30 A 30 A 30 A 30 A 250 A 400 A 20 A 20 A 50 A 20 A 30 A
1200 A
Rating 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Md #/Cat # N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Type (SS or HTR)
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Visual Inspect
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Operation Test N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Bucket ID
CW Pup P-17 A/C Unit No 5
P18 CW-Spare 20
A/C Unit #4 EXH-1 A/C Unit #5 EXH-2 A/C Unit #5 RAF-3 A/C Unit #4 SAF-1
VFD-2
Spray Pump 2
VFD-1
Spray Pump 1
RCU-2
RCU-1
HW Pump P. 16 HW Standby P. 15
Pump Spare
A/C Unit #4 RAF-2 Main
Contact Resistance
Insulation Resistance @ 1000V
(Meg Ohms)(Micro Ohms)
Insulation Resistance @ 1000V (Control)
(Meg Ohms)
O/L Data O/L Test
(Sec)
Breaker Test
(Sec) Comments
Fuse Resistance - A-55, B-51, C-44
Pump
MANUFACTURER
MCC DATA
COMMENTS: A lot of the auxilary devices are disconnected and not being used. There are wires hanging, wirenutted and spliced throughout the MCC.
DEFICIENCIES:
Megger Walter BahrTESTED BY:
50000, REVISED 3/6/2020www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 50 Bus Duct
SUBSTATION
DATE
Basement POSITION Bus Duct #1
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F
SWITCHBOARD TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
02691183 D/P 70 Busway
INSULATING MEMBERS
CUBICLES
GROUND CONNECTIONS
AUXILIARY DEVICES
INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION
OVERALL CLEANLINESS
RDG.
20°C
RDG.
20°C
RDG.
20°C
INSULATION RESISTANCE TEST RESULTS -
ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C
363.792000818253
334.112000751496
799.66400179863
799.66400179863
767.440001726151
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
N/A
N/A
N/A
NAMEPLATE DATA
General Electric
N/A 600 V
MEGOHMS
INSULATION TEST VOLTAGE
MANUFACTURER
N/A
600 A WITHSTAND RATING
DRAWING NO.
SERIAL NO. TYPE
VOLTAGE CLASS
CONDUCTORA kA CU AL
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE
RDG.
20°C
RDG.
J-Box Including Cables
BUS SECTION TESTED
20°C
A-GND
395.168000888825
B-GND C-GND N-GND A - B A - C B - C
PHASE
N/A
N/A
N/A 0 0 0
0 0 0
0 0 0
0 0 0N/A
A PHASEBUS SECTION TESTED B PHASE C PHASE
CONTACT RESISTANCE MICRO-OHM
COMMENTS: Could not test for contact resistance. No easy access to the direct bus.
Could not test for insulation resistance as something is on that we cannot find to turn off.
DEFICIENCIES:
VERIFY FUSE HOLDER SUPPORT
Ductor Walter BahrTESTED BY:
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 40 Building 3
SUBSTATION
DATE
Building 3 POSITION 3A Disconnect
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
100 A
SHUNT TRIP
NAMEPLATE DATA
N/A
FRN - R - 100
MANUFACTURER MODEL NO.
AMPACITY 240 V
SERIAL NUMBER N/A
N/A
N/AVOLTAGE
N/A
CONTROL VOLTAGE
Westinghouse TYPE
CATALOG NO.
NO N/AN/AINTERRUPT CAPACITY Other
MANUFACTURER
600 VVOLTAGE RATING N/A N/AOtherAMPACITY
CATALOG NO.N/AFusetron CLASS
100 A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: Y
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N/A N/A Y Y Y Y N/A
Y Y Y Y Y Y
Y
CALIBRATED TORQUE WRENCH
Y
ELECTRICAL TESTS
NVERIFY HEATER OPERATION
AS FOUND
680.00
0.00
1.80
AS LEFT AS FOUND
678.00
0.00
1.20
AS LEFT
678.00
0.00
676.00
AS FOUND
676.00
0.00
AS LEFT
676.00
0.00
BOLTED
CONNECTIONS
0.00
0.00
0.00
POLE 1 (P1-P2)
0.00
POLE 2 (P2-P3) POLE 3 (P1-P3)
0.00
680.00
0.00
1.80 1.401.401.20
LOAD
LINE
FUSE
FUSE HOLDER
CONTACT
POLE 3POLE 2POLE 1RESISTANCE
MEASUREMENTS
0.000.000.00
POLE TO POLE
POLE TO FRAME
LINE TO LOAD
INSULATION RESISTANCE TEST RESULTS 1 KVDC
0.00
FUSE DATA
μΩ μΩ μΩ μΩ μΩ
MΩ
MΩ
MΩ
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 40 Building 3
SUBSTATION
DATE
Building 3 POSITION 3B Disconnect
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
100 A
SHUNT TRIP
NAMEPLATE DATA
N/A
FRN - R - 100
MANUFACTURER MODEL NO.
AMPACITY 240 V
SERIAL NUMBER N/A
N/A
N/AVOLTAGE
N/A
CONTROL VOLTAGE
Westinghouse TYPE
CATALOG NO.
NO N/AN/AINTERRUPT CAPACITY Other
MANUFACTURER
600 VVOLTAGE RATING N/A N/AOtherAMPACITY
CATALOG NO.N/AFusetron CLASS
100 A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: Y
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N/A N/A Y Y Y Y N/A
Y Y Y Y Y Y
Y
CALIBRATED TORQUE WRENCH
Y
ELECTRICAL TESTS
NVERIFY HEATER OPERATION
AS FOUND
1.38
0.00
2.55
AS LEFT AS FOUND
1.20
0.00
2.27
AS LEFT
1.20
0.00
AS FOUND
1.10
0.00
AS LEFT
1.10
0.00
BOLTED
CONNECTIONS
0.00
0.00
0.00
POLE 1 (P1-P2)
0.00
POLE 2 (P2-P3) POLE 3 (P1-P3)
0.00
1.38
0.00
2.55 2.362.362.27
LOAD
LINE
FUSE
FUSE HOLDER
CONTACT
POLE 3POLE 2POLE 1RESISTANCE
MEASUREMENTS
0.000.000.00
POLE TO POLE
POLE TO FRAME
LINE TO LOAD
INSULATION RESISTANCE TEST RESULTS 1 KVDC
0.00
FUSE DATA
μΩ μΩ μΩ μΩ μΩ
MΩ
MΩ
MΩ
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 40 Building 4
SUBSTATION
DATE
Building 4 POSITION 4A Disconnect
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
100 A
SHUNT TRIP
NAMEPLATE DATA
N/A
FRN - R - 100
MANUFACTURER MODEL NO.
AMPACITY 240 V
SERIAL NUMBER N/A
N/A
N/AVOLTAGE
N/A
CONTROL VOLTAGE
Westinghouse TYPE
CATALOG NO.
NO N/AN/AINTERRUPT CAPACITY Other
MANUFACTURER
600 VVOLTAGE RATING N/A N/AOtherAMPACITY
CATALOG NO.N/AFusetron CLASS
100 A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: Y
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N/A Y Y Y Y N/A
Y Y Y Y Y Y
Y
CALIBRATED TORQUE WRENCH
Y
ELECTRICAL TESTS
NVERIFY HEATER OPERATION
AS FOUND
671.00
0.00
1.70
AS LEFT AS FOUND
677.00
0.00
2.60
AS LEFT
677.00
0.00
AS FOUND
676.00
0.00
AS LEFT
676.00
0.00
BOLTED
CONNECTIONS
0.00
0.00
0.00
POLE 1 (P1-P2)
0.00
POLE 2 (P2-P3) POLE 3 (P1-P3)
0.00
671.00
0.00
1.70 2.902.902.60
LOAD
LINE
FUSE
FUSE HOLDER
CONTACT
POLE 3POLE 2POLE 1RESISTANCE
MEASUREMENTS
0.000.000.00
POLE TO POLE
POLE TO FRAME
LINE TO LOAD
INSULATION RESISTANCE TEST RESULTS 1 KVDC
0.00
FUSE DATA
μΩ μΩ μΩ μΩ μΩ
MΩ
MΩ
MΩ
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 40 Building 4
SUBSTATION
DATE
Building 4 POSITION 4B Disconnect
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION77 °F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
200 A
SHUNT TRIP
NAMEPLATE DATA
N/A
N/A
MANUFACTURER MODEL NO.
AMPACITY 240 V
SERIAL NUMBER N/A
N/A
N/AVOLTAGE
N/A
CONTROL VOLTAGE
Square D TYPE
CATALOG NO.
NO N/AN/AINTERRUPT CAPACITY Other
MANUFACTURER
600 VVOLTAGE RATING N/A N/AOtherAMPACITY
CATALOG NO.N/AFusetron CLASS
200 A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: Y
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N/A Y Y Y Y N/A
Y Y Y Y Y Y
Y
CALIBRATED TORQUE WRENCH
Y
ELECTRICAL TESTS
NVERIFY HEATER OPERATION
AS FOUND
267.00
0.00
276.00
AS LEFT AS FOUND
260.00
0.00
279.00
AS LEFT
260.00
0.00
AS FOUND
293.00
0.00
AS LEFT
293.00
0.00
BOLTED
CONNECTIONS
0.00
0.00
0.00
POLE 1 (P1-P2)
0.00
POLE 2 (P2-P3) POLE 3 (P1-P3)
0.00
267.00
0.00
276.00 204.00204.00279.00
LOAD
LINE
FUSE
FUSE HOLDER
CONTACT
POLE 3POLE 2POLE 1RESISTANCE
MEASUREMENTS
0.000.000.00
POLE TO POLE
POLE TO FRAME
LINE TO LOAD
INSULATION RESISTANCE TEST RESULTS 1 KVDC
0.00
FUSE DATA
μΩ μΩ μΩ μΩ μΩ
MΩ
MΩ
MΩ
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY Building 5
SUBSTATION
DATE
Building 5 POSITION Building 5 Main Disconnect
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION°F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
400 A
SHUNT TRIP
NAMEPLATE DATA
N/A
FRN - R - 400
MANUFACTURER MODEL NO.
AMPACITY 240 V
SERIAL NUMBER N/A
N/A
N/AVOLTAGE
N/A
CONTROL VOLTAGE
N/A TYPE
CATALOG NO.
NO N/AN/AINTERRUPT CAPACITY Other
MANUFACTURER
250 VVOLTAGE RATING N/A N/AOtherAMPACITY
CATALOG NO.N/AFusetron CLASS
400 A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: Y
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N/A N/A Y Y Y Y Y
Y Y Y Y Y Y
Y
CALIBRATED TORQUE WRENCH
Y
ELECTRICAL TESTS
N/AVERIFY HEATER OPERATION
AS FOUND
155.00
0.00
45.00
AS LEFT AS FOUND
137.00
0.00
39.00
AS LEFT
137.00
0.00
AS FOUND
155.00
0.00
AS LEFT
155.00
0.00
BOLTED
CONNECTIONS
0.00
0.00
0.00
POLE 1 (P1-P2)
0.00
POLE 2 (P2-P3) POLE 3 (P1-P3)
0.00
155.00
0.00
45.00 37.0037.0039.00
LOAD
LINE
FUSE
FUSE HOLDER
CONTACT
POLE 3POLE 2POLE 1RESISTANCE
MEASUREMENTS
0.000.000.00
POLE TO POLE
POLE TO FRAME
LINE TO LOAD
INSULATION RESISTANCE TEST RESULTS 1 KVDC
0.00
FUSE DATA
μΩ μΩ μΩ μΩ μΩ
MΩ
MΩ
MΩ
HUMIDITY 80 Building 7
DATE
Building 7 FDS POSITION Building 7 FDS
5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION72 °F
FUSED DISCONNECT INSPECTION & TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
INSULATION TEST VOLTAGE
K1 = (VOLTAGE MULTIPLIER) (RANGE MULTIPLIER) = (
EQUIPMENT TEMPERATURE
MAX. VOLTS
TYPE
SERIES
SIZE
CATALOG NO.
MANUFACTURER
DESCRIPTION
OVERALL CLEANLINESS
CUBICLES
AUXILIARY DEVICES
CONDITION CLEANED/LUBEDINSPECTED
INSULATING MEMBERS
GROUND CONNECTION
K2 = (K1) (TCF) =
PHASE
B
240 V kVDC
17 0.85
Fusetron
Ductor Walter BahrTESTED BY:
15601, REVISED 7/17/2009www.epsii.com
TEST EQUIPMENT USED:
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF
Acceptable C
N/A N/A
N/A N/A
Acceptable C
Acceptable N/A
N/A
NAMEPLATE DATA
TEST RESULTS
Vacu-Break
ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C
600 A
°C
Gould
SN426
81 96
TYPE
POSITION
PH
B-GND
PH
C-GND
PH
A-B
PH
A-GND
PH
A-C
PH
B-C
INSULATION RESISTANCE - MEGOHMS
PHASE
A
PHASE
C
CONTACT RESISTANCE
MICRO-OHMS
FDS
SIZE
600 A
FUSE DATA
124 115 108
RESISTANCE - MICRO-OHMS
A B C
COMMENTS:
DEFICIENCIES:
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 70 Chiller Room
SUBSTATION
DATE
Chiller #1 POSITION Chiller #1
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
400 A
SHUNT TRIP
NAMEPLATE DATA
5YC88586-1
FRN-R-400
MANUFACTURER MODEL NO.
AMPACITY 480 V
SERIAL NUMBER N/A
Air Switch
N/AVOLTAGE
N/A
CONTROL VOLTAGE
Westinghouse TYPE
CATALOG NO.
NO N/A200 kAINTERRUPT CAPACITY Other
MANUFACTURER
300 VVOLTAGE RATING 200 kA N/AOtherAMPACITY
CATALOG NO.RK5Fusetron CLASS
400 A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: Y
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N N Y Y Y Y Y
Y Y Y Y Y Y
Y
CALIBRATED TORQUE WRENCH
Y
ELECTRICAL TESTS
N/AVERIFY HEATER OPERATION
AS FOUND
205.00
0.00
162.00
AS LEFT AS FOUND
205.00
0.00
201.00
AS LEFT
205.00
0.00
AS FOUND
204.00
0.00
AS LEFT
204.00
0.00
BOLTED
CONNECTIONS
0.00
0.00
0.00
POLE 1 (P1-P2)
0.00
POLE 2 (P2-P3) POLE 3 (P1-P3)
0.00
205.00
0.00
162.00 376.00376.00201.00
LOAD
LINE
FUSE
FUSE HOLDER
CONTACT
POLE 3POLE 2POLE 1RESISTANCE
MEASUREMENTS
0.000.000.00
POLE TO POLE
POLE TO FRAME
LINE TO LOAD
INSULATION RESISTANCE TEST RESULTS 1 KVDC
0.00
FUSE DATA
μΩ μΩ μΩ μΩ μΩ
MΩ
MΩ
MΩ
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 80 Chiller Room
SUBSTATION
DATE
Chiller #2 POSITION Chiller #2
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION69 °F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
N/A
SHUNT TRIP
NAMEPLATE DATA
5YC88586-1
N/A
MANUFACTURER MODEL NO.
AMPACITY 460 V
SERIAL NUMBER N/A
TRM - Aire
N/AVOLTAGE
N/A
CONTROL VOLTAGE
Westinghouse TYPE
CATALOG NO.
NO N/AN/AINTERRUPT CAPACITY Other
MANUFACTURER
N/AVOLTAGE RATING N/A N/AOtherAMPACITY
CATALOG NO.N/AN/A CLASS
N/A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: N
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N N N N N N N
N N N N N N
Y
CALIBRATED TORQUE WRENCH
N
ELECTRICAL TESTS
N/AVERIFY HEATER OPERATION
AS FOUND
0.00
0.00
0.00
AS LEFT AS FOUND
0.00
0.00
0.00
AS LEFT
0.00
0.00
0.00
AS FOUND
0.00
0.00
AS LEFT
0.00
0.00
BOLTED
CONNECTIONS
0.00
0.00
0.00
POLE 1 (P1-P2)
0.00
POLE 2 (P2-P3) POLE 3 (P1-P3)
0.00
0.00
0.00
0.00 0.000.000.00
LOAD
LINE
FUSE
FUSE HOLDER
CONTACT
POLE 3POLE 2POLE 1RESISTANCE
MEASUREMENTS
0.000.000.00
POLE TO POLE
POLE TO FRAME
LINE TO LOAD
INSULATION RESISTANCE TEST RESULTS 1 KVDC
0.00
FUSE DATA
μΩ μΩ μΩ μΩ μΩ
MΩ
MΩ
MΩ
Megger Walter BahrTESTED BY:
50000, REVISED 3/6/2020www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 50 Bus Duct
SUBSTATION
DATE
Ground Floor - Room GC-009B POSITION Bus Duct #5
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F
SWITCHBOARD TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
02691183 C/P 66 Busway
INSULATING MEMBERS
CUBICLES
GROUND CONNECTIONS
AUXILIARY DEVICES
INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION
OVERALL CLEANLINESS
RDG.
20°C
RDG.
20°C
RDG.
20°C
INSULATION RESISTANCE TEST RESULTS -
ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C
306.128000688553
281.53600063324
624.976001405716
639.392001438141
559.68000125885
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
N/A
N/A
N/A
NAMEPLATE DATA
General Electric
N/A 600 V
MEGOHMS
INSULATION TEST VOLTAGE
MANUFACTURER
N/A
600 A WITHSTAND RATING
DRAWING NO.
SERIAL NO. TYPE
VOLTAGE CLASS
CONDUCTORA kA CU AL
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE
RDG.
20°C
RDG.
J-Box Including Cables
BUS SECTION TESTED
20°C
A-GND
328.176000738144
B-GND C-GND N-GND A - B A - C B - C
PHASE
N/A
N/A
N/A 0 0 0
0 0 0
0 0 0
0 0 0N/A
A PHASEBUS SECTION TESTED B PHASE C PHASE
CONTACT RESISTANCE MICRO-OHM
COMMENTS: Could not test for contact resistance. No easy access to the direct bus.
DEFICIENCIES:
Megger Walter BahrTESTED BY:
50000, REVISED 3/6/2020www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 50 Bus Duct
SUBSTATION
DATE
Ground Floor - Room GC-009B POSITION Bus Duct #6
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F
SWITCHBOARD TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
02691183 C/P 66 Busway
INSULATING MEMBERS
CUBICLES
GROUND CONNECTIONS
AUXILIARY DEVICES
INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION
OVERALL CLEANLINESS
RDG.
20°C
RDG.
20°C
RDG.
20°C
INSULATION RESISTANCE TEST RESULTS -
ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
N/A
N/A
N/A
NAMEPLATE DATA
General Electric
N/A 600 V
MEGOHMS
INSULATION TEST VOLTAGE
MANUFACTURER
N/A
600 A WITHSTAND RATING
DRAWING NO.
SERIAL NO. TYPE
VOLTAGE CLASS
CONDUCTORA kA CU AL
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE
RDG.
20°C
RDG.
J-Box Including Cables
BUS SECTION TESTED
20°C
A-GND
B-GND C-GND N-GND A - B A - C B - C
PHASE
N/A
N/A
N/A 0 0 0
0 0 0
0 0 0
0 0 0N/A
A PHASEBUS SECTION TESTED B PHASE C PHASE
CONTACT RESISTANCE MICRO-OHM
COMMENTS: Could not test for contact resistance. No easy access to the direct bus.
Could not test for insulation resistance as something is on shorting the test that we could not find.
DEFICIENCIES:
Megger Walter BahrTESTED BY:
50000, REVISED 3/6/2020www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 50 Bus Duct
SUBSTATION
DATE
Ground Floor Electric Closet GA-01D POSITION Bus Duct #2
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F
SWITCHBOARD TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
02691183 B/P 39 Busway
INSULATING MEMBERS
CUBICLES
GROUND CONNECTIONS
AUXILIARY DEVICES
INSPECTED CONDITION CLEANED/LUBEDDESCRIPTION
OVERALL CLEANLINESS
RDG.
20°C
RDG.
20°C
RDG.
20°C
INSULATION RESISTANCE TEST RESULTS -
ACTUAL READING SHADING INDICATES TEMPERATURE CORRECTED READING TO 20°C
636.848001432419
653.808001470566
1,740
,475.52000331879
1,350
,144.80000257492
1,390
,178.72000265122
Acceptable
Acceptable
Acceptable
Acceptable
N/A
N/A
N/A
N/A
N/A
N/A
NAMEPLATE DATA
General Electric
N/A 600 V
MEGOHMS
INSULATION TEST VOLTAGE
MANUFACTURER
N/A
800 A WITHSTAND RATING
DRAWING NO.
SERIAL NO. TYPE
VOLTAGE CLASS
CONDUCTORA kA CU AL
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF = 0.848kVDC °C161,000 EQUIPMENT TEMPERATURE
RDG.
20°C
RDG.
J-Box Including Cables
BUS SECTION TESTED
20°C
A-GND
658.89600148201
B-GND C-GND N-GND A - B A - C B - C
PHASE
N/A
N/A
N/A 0 0 0
0 0 0
0 0 0
0 0 0N/A
A PHASEBUS SECTION TESTED B PHASE C PHASE
CONTACT RESISTANCE MICRO-OHM
COMMENTS: Could not test for contact resistance. No easy access to the direct bus.
DEFICIENCIES:
HUMIDITY 55 Chiller Room
DATE
MCC-1 POSITION MCC-1
5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION70 °F
MOTOR CONTROL MCC TEST REPORT
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
Cleaning Supplies Walter BahrTESTED BY:
31200, REVISED 5/18/2011www.epsii.com
EQPT. INVENTORY NO.
MCC ID MCC-1 MODEL # N/A # OF BUCKETS
Square D N/ASERIAL # VOLTAGE
480/277
Size 30 A 30 A 50 A 60 A 100 A 60 A 60 A 60 A 100 A 100 A 70 A 30 A 100 A 100 A 150 A 20 A
Rating 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V 600 V
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Md #/Cat # N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Type (SS or HTR)
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
A
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
B
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
C
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Visual Inspect
A A A A A A A A A A A A A A A A
Operation Test
A A A A A A A A A A A A A A A A
Bucket ID
Pump P-2 Pump P-11 Pump P-10
Cooling Tower 2 Pump P-14 Pump P-12 A/C Roof
Spare Spare
45 kva Tranformer
MCC-1
Cooling Tower 1 Spare
MRI Unit (Outside) Pump P-15
Contact Resistance
Insulation Resistance @ 1000V
(Meg Ohms)(Micro Ohms)
Insulation Resistance @ 1000V (Control)
(Meg Ohms)
O/L Data O/L Test
(Sec)
Breaker Test
(Sec) Comments Pump P-1
MANUFACTURER
MCC DATA
COMMENTS:
DEFICIENCIES:
MEGGER, DUCTOR, PRIMARY INJECTION TEST Walter BahrTESTED BY:
15055RIC, REVISED 3/14/2019www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 55 Chiller Room
SUBSTATION
DATE
Sub-C POSITION ATS-5
5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F
LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
D.O.
ZONE INTLK
THERMAL MEMORY
FRAME SIZE(F)
BREAKER TYPE
TRIP UNIT TYPE
N/A
CUBICLE CODE
SN / SO NO.
MOUNTING
TARGETS
400 ASquare D
LX136400G
N/A
400 A B.I.
OFFON
I Limiter 53B
FUSE CAT. NO.
Micrologic Standard B
SENSOR TAPS
N/A
CATALOG NO.
MANUFACTURER
CU AL
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
SIZELOAD CONDUCTOR NO.
CAcceptable
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
DESCRIPTION
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
DESCRIPTION
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY
N/A
N/A
GRD. FLT.
GRD. FLT. 4W3W
A=
AA
x
A
A
A
A = A400
1,000
400 400
1,000
4W3W A x 400
SENSOR TAP 400
RATING PLUG(R)
SENSOR TAP
RATING PLUG(R)
N/A
N/A
N/A
N/A
N/A
DRAWING
N/A
N/A
N/A
N/A
N/A
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
PICKUP
N/A800=
INST.
GRD. FLT.
SETTINGS AS FOUND
A
80 N/A
SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING
2.5
0.2
2.5
0.2
CURVE
N/A
N/A
DELAY
DELAY
0.1 I2T OFF
0.2 I2T ON
0.1 I2T OFF
0.2 I2T ON
POLE 1
FUNCTION
POLE 2
AS FOUND
(seconds)
TIME BAND
MINIMUM MAXIMUM
POLE 3
CURRENT
MULTIPLE
AS FOUND
(seconds)
AS FOUND
(seconds)
AS LEFT
(seconds)
AS LEFT
(seconds)
PAIR CURRENT AND TIME ON ALL TESTS
3 6.04 6.04 6.06 6.06 NT NT
LTPU (amps) 1,200 1,200 1,200 1,200 NT NT
VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT
LONG TIME
1,200
AS LEFT
(seconds)
TEST
AMPERES
STPU (amps)
0.12
NT
0.12
NT
0.12
NT
0.12
NT
NT
NT
NT
NT
1,200 1.5
SHORT TIME
1,101
NT
1,101
NT
1,036
NT
1,036
NT
NT
NT
NT
NT
2.51,000
INSTANTANEOUS
IPU (amps)
GROUND FAULT
0.21
NT
0.21
NT
0.21
NT
0.21
NT
0.21
NT
0.21
NT
120 1.5
GFPU (amps)
EQUIPMENT TEMPERATURE
20°C
READING
POLE 3POLE 2
READING 20°C 20°C
20°C
16.96
16.96
16.96
16.96
16.96 131
POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)
N/A N/A
CONTROL WIRING
POLE TO FRAME
POLE TO POLE
READING READING
LINE TO LOAD
COUNTER READING BEG/END
INSULATION
RESISTANCE
POLE 1
READING
0.848°C
G
G
20 G
GG G
GG
20 G
G
G
16.96
16.96
16.96
G 16.96
G
G
G
G
G
G
G GNT
MICRO-OHMSPOLE RESISTANCE -
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16
PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:
COMMENTS: Breaker was tested using the loop test in order to bypass ground fault.
DEFICIENCIES:
TEST EQUIPMENT USED:
HUMIDITY 55 Chiller Room
SUBSTATION
DATE
Sub-C POSITION Main
5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION66 °F
LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
D.O.
ZONE INTLK
THERMAL MEMORY
FRAME SIZE(F)
BREAKER TYPE
TRIP UNIT TYPE
085120171701
CUBICLE CODE
SN / SO NO.
MOUNTING
TARGETS
3000 ASquare D
WL3HHG44A9C5XXXXXXX
N/A
3000 A B.I.
OFFON
MasterPact NW30H
FUSE CAT. NO.
Micrologic 6.0 A
SENSOR TAPS
N/A
CATALOG NO.
MANUFACTURER
CU AL
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
SIZELOAD CONDUCTOR NO.
CAcceptable
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
DESCRIPTION
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
DESCRIPTION
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY
N/A
N/A
GRD. FLT.
GRD. FLT. 4W3W
A=
AA
x
A
A
A
A = A3,000
18,000
3,000 3,000
30,000
3,000
4W3W A x 3,000
SENSOR TAP 3,000
3,000
RATING PLUG(R)
SENSOR TAP
RATING PLUG(R)
N/A
N/A
N/A
N/A
N/A
DRAWING
N/A
N/A
N/A
N/A
N/A
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
PICKUP
N/A30,000=
INST.
GRD. FLT.
SETTINGS AS FOUND
3,000
A
500 N/A
SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING
Off
A
Off
A
CURVE
N/A
N/A
DELAY
DELAY
0.1 I2T ON
0 I2T OFF
0.1 I2T ON
0 I2T OFF
POLE 1
FUNCTION
POLE 2
AS FOUND
(seconds)
TIME BAND
MINIMUM MAXIMUM
POLE 3
CURRENT
MULTIPLE
AS FOUND
(seconds)
AS FOUND
(seconds)
AS LEFT
(seconds)
AS LEFT
(seconds)
PAIR CURRENT AND TIME ON ALL TESTS
3 3.974 3.974 4.051 4.051 4.069 4.069
LTPU (amps) NT NT NT NT NT NT
VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT
LONG TIME
12,000
AS LEFT
(seconds)
TEST
AMPERES
STPU (amps)
0.146
NT
0.146
NT
0.144
NT
0.144
NT
0.146
NT
0.146
NT
27,000 1.5
SHORT TIME
NT
NT
NT
NT
NT
NT
NT
NT
NT
NT
NT
NT
INSTANTANEOUS
IPU (amps)
GROUND FAULT
0.036
NT
0.036
NT
0.036
NT
0.036
NT
0.036
NT
0.036
NT
750 1.5
GFPU (amps)
EQUIPMENT TEMPERATURE
20°C
READING
POLE 3POLE 2
READING 20°C 20°C
20°C
16.96
16.96
16.96
16.96
16.96 15
POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)
N/A N/A
CONTROL WIRING
POLE TO FRAME
POLE TO POLE
READING READING
LINE TO LOAD
COUNTER READING BEG/END
INSULATION
RESISTANCE
POLE 1
READING
0.848°C
G
G
20 G
GG G
GG
20 G
G
G
16.96
16.96
16.96
G 16.96
G
G
G
G
G
G
G GNT
MICRO-OHMSPOLE RESISTANCE -
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16
PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:
COMMENTS: Short Time Pickup was lowered to 6 for testing.
DEFICIENCIES:
TEST EQUIPMENT USED:
HUMIDITY 80 Chiller Room
SUBSTATION
DATE
Sub-C POSITION MCC-1
5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F
LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
D.O.
ZONE INTLK
THERMAL MEMORY
FRAME SIZE(F)
BREAKER TYPE
TRIP UNIT TYPE
N/A
CUBICLE CODE
SN / SO NO.
MOUNTING
TARGETS
400 ASquare D
LX136400G
N/A
400 A B.I.
OFFON
I Limiter 53B
FUSE CAT. NO.
Micrologic Standard B
SENSOR TAPS
N/A
CATALOG NO.
MANUFACTURER
CU AL
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
SIZELOAD CONDUCTOR NO.
CAcceptable
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
DESCRIPTION
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
DESCRIPTION
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY
N/A
N/A
GRD. FLT.
GRD. FLT. 4W3W
A=
AA
x
A
A
A
A = A400
2,800
400 400
2,800
2,800
4W3W A x 400
SENSOR TAP 400
RATING PLUG(R)
SENSOR TAP
RATING PLUG(R)
N/A
N/A
N/A
N/A
N/A
DRAWING
N/A
N/A
N/A
N/A
N/A
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
PICKUP
N/A2,800=
INST.
GRD. FLT.
SETTINGS AS FOUND
A
80 N/A
SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING
0.2
0.2
CURVE
N/A
N/A
DELAY
DELAY
0.1 I2T OFF
0.1 I2T OFF
0.1 I2T OFF
0.1 I2T OFF
POLE 1
FUNCTION
POLE 2
AS FOUND
(seconds)
TIME BAND
MINIMUM MAXIMUM
POLE 3
CURRENT
MULTIPLE
AS FOUND
(seconds)
AS FOUND
(seconds)
AS LEFT
(seconds)
AS LEFT
(seconds)
PAIR CURRENT AND TIME ON ALL TESTS
3 49.67 49.67 48.62 48.62 NT NT
LTPU (amps) 1,200 1,200 1,200 1,200 NT NT
VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT
LONG TIME
1,200
AS LEFT
(seconds)
TEST
AMPERES
STPU (amps)
0.12
0.12
4,200
0.12
4,200
0.12
4,200
NT
NT
NT
NT
4,200 1.5
SHORT TIME
3,021
NT
3,021
NT
2,906
NT
2,906
NT
NT
NT
NT
NT
72,800
INSTANTANEOUS
IPU (amps)
GROUND FAULT
0.11
NT
0.11
NT
0.11
NT
0.11
NT
0.11
NT
0.11
NT
120 1.5
GFPU (amps)
EQUIPMENT TEMPERATURE
20°C
READING
POLE 3POLE 2
READING 20°C 20°C
20°C
16.96
16.96
16.96
16.96
16.96 154
POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)
N/A N/A
CONTROL WIRING
POLE TO FRAME
POLE TO POLE
READING READING
LINE TO LOAD
COUNTER READING BEG/END
INSULATION
RESISTANCE
POLE 1
READING
0.848°C
G
G
20 G
GG G
GG
20 G
G
G
16.96
16.96
16.96
G 16.96
G
G
G
G
G
G
G GNT
MICRO-OHMSPOLE RESISTANCE -
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16
PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:
COMMENTS: Breaker was tested using the loop test in order to bypass ground fault.
DEFICIENCIES:
TEST EQUIPMENT USED:
HUMIDITY 55 Chiller Room
SUBSTATION
DATE
Sub-C POSITION MCC-2 X-Ray
5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F
LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
D.O.
ZONE INTLK
THERMAL MEMORY
FRAME SIZE(F)
BREAKER TYPE
TRIP UNIT TYPE
064089814501
CUBICLE CODE
SN / SO NO.
MOUNTING
TARGETS
1200 ASquare D
PLA34120V44A
N/A
1200 A B.I.
OFFON
PowerPact PL1200
FUSE CAT. NO.
Micrologic 6.0
SENSOR TAPS
N/A
CATALOG NO.
MANUFACTURER
CU AL
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
SIZELOAD CONDUCTOR NO.
CAcceptable
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
DESCRIPTION
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
DESCRIPTION
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY
N/A
N/A
GRD. FLT.
GRD. FLT. 4W3W
A=
AA
x
A
A
A
A = A1,200
18,000
1,200 480
18,000
2,880
4W3W A x 1,200
SENSOR TAP 1,200
1,200
RATING PLUG(R)
SENSOR TAP
RATING PLUG(R)
N/A
N/A
N/A
N/A
N/A
DRAWING
N/A
N/A
N/A
N/A
N/A
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
PICKUP
N/A2,880=
INST.
GRD. FLT.
SETTINGS AS FOUND
1,200
A
500 N/A
SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING
A
A
CURVE
N/A
N/A
DELAY
DELAY
0.4 I2T ON
0.4 I2T ON
0.4 I2T ON
0.4 I2T ON
0.4
0.4
POLE 1
FUNCTION
POLE 2
AS FOUND
(seconds)
TIME BAND
MINIMUM MAXIMUM
POLE 3
CURRENT
MULTIPLE
AS FOUND
(seconds)
AS FOUND
(seconds)
AS LEFT
(seconds)
AS LEFT
(seconds)
PAIR CURRENT AND TIME ON ALL TESTS
3 30.63 30.63 31.46 31.46 30.28 30.28
LTPU (amps) 1,440 1,440 1,440 1,440 1,440 1,440
VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT
LONG TIME
1,440
AS LEFT
(seconds)
TEST
AMPERES
STPU (amps)
0.370
0.370
4,320
0.386
4,320
0.386
4,320
0.392
4,320
0.392
4,320
4,320 1.5
SHORT TIME
10,414
NT
10,414
NT
10,436
NT
10,436
NT
10,303
NT
10,303
NT
89,600
INSTANTANEOUS
IPU (amps)
GROUND FAULT
0.059
NT
0.059
NT
0.059
NT
0.059
NT
0.059
NT
0.059
NT
750 1.5
GFPU (amps)
EQUIPMENT TEMPERATURE
20°C
READING
POLE 3POLE 2
READING 20°C 20°C
20°C
16.96
16.96
16.96
16.96
16.96 53
POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)
N/A N/A
CONTROL WIRING
POLE TO FRAME
POLE TO POLE
READING READING
LINE TO LOAD
COUNTER READING BEG/END
INSULATION
RESISTANCE
POLE 1
READING
0.848°C
G
G
20 G
GG G
GG
20 G
G
G
16.96
16.96
16.96
G 16.96
G
G
G
G
G
G
G GNT
MICRO-OHMSPOLE RESISTANCE -
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16
PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:
COMMENTS: Instantaneous was lowered to 8 for testing. Zone Interlock interferes with Ground Delay.
DEFICIENCIES:
TEST EQUIPMENT USED:
HUMIDITY 55 Chiller Room
SUBSTATION
DATE
Sub-C POSITION Spare
5/5/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F
LOW VOLTAGE POWER CIRCUIT BREAKER TEST
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
D.O.
ZONE INTLK
THERMAL MEMORY
FRAME SIZE(F)
BREAKER TYPE
TRIP UNIT TYPE
N/A
CUBICLE CODE
SN / SO NO.
MOUNTING
TARGETS
250 ASquare D
LX136250G
N/A
250 A B.I.
OFFON
I Limiter 53B
FUSE CAT. NO.
Micrologic Standard
SENSOR TAPS
N/A
CATALOG NO.
MANUFACTURER
CU AL
INSPECTED CONDITION CLEAN/LUBE INSPECTED CONDITION CLEAN/LUBE
SIZELOAD CONDUCTOR NO.
CAcceptable
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
Acceptable C
DESCRIPTION
ARC CHUTES
AUXILIARY DEVICES
GROUND CONNECTION
DESCRIPTION
CUBICLE AND RACKING DEVICES
CONTACT FINGERS
LOADING AND ARCING CONTACTS
OVERCURRENT DEV. BATTERY
N/A
N/A
GRD. FLT.
GRD. FLT. 4W3W
A=
AA
x
A
A
A
A = A250
187.5
2,000
250 250
2,000
2,000
4W3W A x 250
SENSOR TAP 250
RATING PLUG(R)
SENSOR TAP
RATING PLUG(R)
N/A
N/A
N/A
N/A
N/A
DRAWING
N/A
N/A
N/A
N/A
N/A
GRD. FLT.
INST.
SHORT
LONG
FUNCTION
SHORT
LONG
PICKUP
N/A2,000=
INST.
GRD. FLT.
SETTINGS AS FOUND
A
187.5 N/A
SETTINGS AS LEFT FUNCTION PICKUP CURVE DRAWING
0.75
0.75
CURVE
N/A
N/A
DELAY
DELAY
0.1 I2T OFF
0.5 I2T ON
0.1 I2T OFF
0.5 I2T ON
POLE 1
FUNCTION
POLE 2
AS FOUND
(seconds)
TIME BAND
MINIMUM MAXIMUM
POLE 3
CURRENT
MULTIPLE
AS FOUND
(seconds)
AS FOUND
(seconds)
AS LEFT
(seconds)
AS LEFT
(seconds)
PAIR CURRENT AND TIME ON ALL TESTS
3 13.54 13.54 13.21 13.21 NT NT
LTPU (amps) 750 750 750 750 NT NT
VOLTAGE DROP @ LONG TIME TEST CURRENT NT NT NT
LONG TIME
AS LEFT
(seconds)
TEST
AMPERES
STPU (amps)
0.12
NT
0.12
NT
0.14
NT
0.14
NT
NT
NT
NT
NT
1,500 1.5
SHORT TIME
2,160
NT
2,160
NT
2,061
NT
2,061
NT
NT
NT
NT
NT
82,000
INSTANTANEOUS
IPU (amps)
GROUND FAULT
0.46
NT
0.46
NT
0.46
NT
0.46
NT
0.46
NT
0.46
NT
281 1.5
GFPU (amps)
EQUIPMENT TEMPERATURE
20°C
READING
POLE 3POLE 2
READING 20°C 20°C
20°C
16.96
16.96
16.96
16.96
16.96 142
POLE 1 (P1-P2) POLE 2 (P2-P3) POLE 3 (P3-P1)
N/A N/A
CONTROL WIRING
POLE TO FRAME
POLE TO POLE
READING READING
LINE TO LOAD
COUNTER READING BEG/END
INSULATION
RESISTANCE
POLE 1
READING
0.848°C
G
G
20 G
GG G
GG
20 G
G
G
16.96
16.96
16.96
G 16.96
G
G
G
G
G
G
G GNT
MICRO-OHMSPOLE RESISTANCE -
TEMPERATURE CORRECTION FACTOR TO 20°C, TCF16
PASSED ALL NETA ATS SPECIFICATIONSASSESSMENT OF BREAKER:
COMMENTS: Breaker was tested using the loop test in order to bypass ground fault.
Short Time was tested at 4.
15510, REVISED 3/13/2017www.epsii.com
TEST EQUIPMENT USED:
HUMIDITY 70 Building 20
SUBSTATION
DATE
Switchboard 20-D POSITION 20 ATS-1
5/4/2020 %AMBIENT TEMPERATURE EQPT. LOCATION60 °F
LOW VOLTAGE AIR SWITCH
ELECTRIC POWER SYSTEMS
TELEPHONE
CUSTOMER
ADDRESS
S&B Services
USER VA Hospital - Facility Management
OWNER REPRESENTATIVE
PAGE
JOB # STL20547-000
800 A
SHUNT TRIP
NAMEPLATE DATA
QA-0833
KRP-C 800
MANUFACTURER MODEL NO.
AMPACITY 480 V
SERIAL NUMBER A-06182
Air Switch
N/AVOLTAGE
Pringle
CONTROL VOLTAGE
Pringle TYPE
CATALOG NO.
NO N/A200 kAINTERRUPT CAPACITY Other
MANUFACTURER
600 VVOLTAGE RATING 200 kA N/AOtherAMPACITY
CATALOG NO.LHi-Cap CLASS
800 A INTERRUPT RATING
VISUAL & MECHANICAL INSPECTION
INSPECT GROUNDING
PERFORM AS-FOUND TESTS IF REQUIRED
CLEAN UNIT
VERIFY BLADE ALIGNMENT & PENETRATION
VERIFY FUSE SIZES & TYPES
THERMOGRAPHIC SURVEY
INSPECT ANCHORAGE, ALIGNMENT & CLEARANCES
INSPECT PHYSICAL & MECHANICAL CONDITION
VERIFY TRAVEL STOPS & MECHANICAL OPERATION
Y
LOW RESISTANCE OHMMETERWITH ONE OF: Y
INSPECT BOLTED ELECTRICAL CONNECTIONS FOR HIGH RESISTANCE
TEST INTERLOCKING SYSTEMS FOR OPERATION & SEQUENCING
INSPECT INSULATING ASSEMBLIES
VERIFY ALL INDICATING & CONTROL DEVICES
LUBRICATE MOVING CURRENT-CARRYING PARTS
LUBRICATE MOVING & SLIDING SURFACES
N N Y Y Y Y Y
Y Y Y Y Y Y
Y
CALIBRATED TORQUE WRENCH
Y
ELECTRICAL TESTS
N/AVER…
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