48
______________________________________
_______________________________________
Signature
Title
______________________________________
_______________________________________
Name (in capitals)
Company name
✁
6.
What did happen?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
7.
When did the fault occur?
Instant
Yes/No
Intermittent
Yes/No
Time delayed
Yes/No
(Delete as appropriate).
By how long?
___________
8.
What indications if any did the relay show?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
9.
Was there any visual damage?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
10. Any other remarks which may be useful:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________