installation and operation Manual

Page
11
GROUND FAULT
TEST
RECORD FORM
Ground Fault Test Record should be Retained
by
Those in Charge
of
the Building's Electrical
Installation in order to be available
to
the Authority having Jurisdiction.
Test Date
Circuit
Breaker
Number
Results
Tested By:
Fig.
16
Typical Performance Test Record Form
40752-072(2) Effective
6/02