Verification 25
Table 2-6. Performance Test Record Form
Test Facility:
__________________________________________ Report No.__________________________________________
__________________________________________ Date______________________________________________
__________________________________________ Customer___________________________________________
__________________________________________ Tested By___________________________________________
Model_____________________________________ Ambient Temperature (°C)______________________________
Serial No.__________________________________ Relative Humidity (%)_________________________________
Options ____________________________________ Nominal Line Frequency (Hz)___________________________
Firmware Revision ___________________________
Special Notes:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Test Equipment Used:
Description Model No. Trace No. Cal. Due Date
1. AC Source _______________ _______________ _________________
2. DC Voltmeter _______________ _______________ _________________
3. RMS Voltmeter _______________ _______________ _________________
4. Oscilloscope _______________ _______________ _________________
5. Electronic Load _______________ _______________ _________________
6. Current Monitoring _______________ _______________ _________________
Shunt