GE PowerVac GEK-86132F, Instruction Manual

     USER REPORT NO.

FAILURE REPORTING FORM FOR POWER CIRCUIT BREAKERS

Check all appropriate blocks and provide information indicated. For major trouble provide additional information requested on back of
page supplemented with additional pages if necessary.

User Ident

EQUIPMENT:

Station____________________________ of Breaker___________________

    Equipment Nameplate

Mfgr._______________________________Type_______________ Serial #_____________________

Information

kV_______Inter Amps/MVA___________________Continuous Amps__________ BIL______________

Trouble

    Breaker Background: Shipped________, Installed________, Maintained_________, Modernized_______,  Date _____________

(Mo/Yr)

(Mo/Yr)

(Mo/Yr)

(Mo/Day/Yr)

    Operational Counter Reading _________________________________________________________________________________
    Location:

 Indoor

 Outdoor

Enclosure:   

 Non-metal Clad,   

 Metalclad,   

 GIS

    Interrupter:

 Air Blast,   

 Air Magnetic,   

 Oil,   

 SF

6

,   

 Vacuum,  Other____________________________________

ENVIRONMENT:
    General:

 Industrial,   

 Urban,   

 Suburban,   

 Rural,   

 Sea Coast,   

 Above 3300',   

 High Contamination,

Other________________________________________________________________________________________

    Weather Conditions:

 Dry,   

 Rain,  

 Lightning in Area,   

 Snow,   

 Fog,   

 Freezing Rain,   

 Frost,   

 Condensation,

         Temp. Trend  



 Rising,   

 Falling,   

 Steady,   

 Extreme Cold, Temperature_____

°

 F,

 Wind  



 Calm,   

 Light,   

 Strong-Steady,   

 Strong-Gusty

   External Mechanical Stresses Involved:   

 Normal,  

 Earthquake,  

 Wind,  

 Abnormal Terminal Loading,

      Other___________________________________________________________________________________________________
   Nominal System voltage__________________________
TROUBLE:
   When Discovered:   

 Installation, 

 In Service,   

 Maintenance,   

 Test,  Other _____________________________________

   Breaker Mode at Time of Trouble:

 De-energized,  

 Closed,  

 Open,  

 Tripping,  

 Closing,  

 Reclosing,

 Fault Interruption,  

 Load Switching,  

 Line Switching

   Breaker Response at Time of Trouble:

 Not Called Upon to Operate,  

 Performed at Intended,  

 Unsatisfactory Operation,

 Failed to Operate

   Subsystem in Trouble:        

 External Insulation to Ground,  

 Internal Insulation to Ground,  

 Insulating Medium,

 Isolating Contact,  

 Bushing,  

 Interrupter,  

 Seals-Gaskets,  

 Air System,  

 SF

6 

System,  

 C.T.,

 Resistor Sw or Aux. Int.,  

 Voltage Grading Device,  

 Line Terminals,  

 Compressor,  

 Heater,  

 Electrical Controls,

 Wiring,  

 Operating Mechanism, 

 Mechanical Linkage,  

 Other _______________________________________________

     ________________________________________________________________________________________________________

   State Specifically What Failed (With Instr. Book Ref.):____________________________________________________________

     ________________________________________________________________________________________________________

   Has it occurred before on this type of breaker?  

 No,  

 Yes,   How many times______________________________________

   State How Problem was Corrected

:

___________________________________________________________________________

     ________________________________________________________________________________________________________

POSSIBLE CAUSE:

 Design/Manufacture,  

 Shipping,  

 Storage,  

 Installation,  

 Instructions,  

 Maintenance,

 Wear/Aging,  

 Animal/Birds,  

 Other,  

 Not Obvious

   Comments and Suggestions:  _______________________________________________________________________________

     ________________________________________________________________________________________________________

     ________________________________________________________________________________________________________
EFFECT:
   Breaker Down Time:  

 No Interruption,  

 30 Min. or Less,  

 1 Hr,  

 2 Hr,  

 6 Hr,  

 12 Hr,  

 24 Hr, Other ______________

   Repair Time:  

 Less than 30 Min., 

 1 Hr,  

 2 Hr,  

 6 Hr,  

 1 Day,  

 2 Days,  

 3 Days,  

 1 Week, Other ______________

   Breaker Outage Status:

 Immediate Forced Outage,  

 Outage Within 20 Min.,  

 Required Subsequent Outage,

 Repair Deferred Until Regular Maintenance,   

 No Outage for Repair

User Person
Completing Report ______________________________________________________Date__________________________________

User Approval Name_____________________________________________________Date _________________________________

User Contact Name____________________________________________Telephone Number________________________________

User Company_______________________________________________

Provided 

by 
Northeast 

Power 

Systems, 

Inc. 

www.nepsi.com