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Ir Test Form

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Nelson Colo
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80 views

Ir Test Form

Uploaded by

Nelson Colo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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A.C. Cortes Ave., Cambaro, Mandaue City 6014, Cebu Philippines; Contact No.

: 092 2953 9333 or 0928 613 6306; LL : 032 340 0805


Email add: [email protected]
INSULATION RESISTANCE TEST DATA FORM
GENERAL INFORMATION:

Date:_____________ Test No.:________________

Client: ______________________________________ Ref. PO No.: __________________________________

Technician:______________________ Company:______________________ Circuit ID/Name:_____________

Circuit Information: __________________________________________________________________________

Phase Conductor Size:_____________________ Circuit Install Date/Age:_________________________

Neutral Conductor Size:_____________________ Conductor Rated Voltage:_______________________

Ground Conductor Size:_____________________ Circuit Length:________________________________

Wire/Cable : Conduit/Duct Size


Manufacturer:_____________________________ and Type:_____________________________

Wire/Cable Type:_________________________ Installation: ☐ Indoor ☐ Outdoor


Buried: ☐ Yes ☐ No

Wire Insulation Type:________________________ Concrete-Encased: ☐ Yes ☐ No

Wire Insulation Number and


Thickness:_____________________________ Type of Splices: ______________________________

Shielded: ☐ Yes ☐ No

Testing Conditions:
Ambient
Temperature:________________________ Meter Manufacturer:___________________________

Relative Humidity:_______________________ Meter Model:__________________________

Test Voltage (DC):_______________________ Meter Serial:__________________________

Wire Grounding
Time Prior to Test:_______________________

Were adjacent conductors (within same conduit/cable) grounded during test? ☐ Yes ☐ No

1SALES MAINTENANCE SERVICES AUTOMATION AUDIO/VISUAL INSTRUMENTATION&CONTROL SAFETY&SECURITY MEP WORKS


A.C. Cortes Ave., Cambaro, Mandaue City 6014, Cebu Philippines; Contact No.: 092 2953 9333 or 0928 613 6306; LL : 032 340 0805
Email add: [email protected] Circuit
Date:_____________ ID/Name:______________________ Test No.:_______________

Test Results: Where a circuit does not contain a neutral conductor_______________________________

Resistance in ☐ MΩ ☐ GΩ
Test Connection
Test time
A-GND B-GND C-GND A-B B-C C-A
30 Seconds
1 Minute
2 Minutes
3 Minutes
4 Minutes
5 Minutes
6 Minutes
7 Minutes
8 Minutes
9 Minutes
10 Minutes
R (Ω*1000ft)
60/30-Sec
Absorption Ratio
10/1-Min
Polarization Index

Test Results: Where a circuit contain a neutral conductor_________________________________________

Resistance in ☐ MΩ ☐ GΩ
Test Connection
Test time
A-Neutral B-Neutral C-Neutral Neutral-GND
30 Seconds
1 Minute
2 Minutes
3 Minutes
4 Minutes
5 Minutes
6 Minutes
7 Minutes
8 Minutes
9 Minutes
10 Minutes
R (Ω*1000ft)
60/30-Sec
Absorption Ratio
10/1-Min
Polarization Index
Notes and Remarks (note any circumstances which may affect test results):

Prepared by: Noted by: Client:

DCNC Sales & Service DCNC Sales & Service Corp Client representative
Corp. Technician Supervisor

2SALES MAINTENANCE SERVICES AUTOMATION AUDIO/VISUAL INSTRUMENTATION&CONTROL SAFETY&SECURITY MEP WORKS

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