Electrical testing · RMS Automation

Infrared Survey

ANSI/NETA ATS-2021 §9 · graded against Table 100.18

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Job Information

Customer

Job #

End User

Test Date

Ambient

Unit

Humidity %

Site Location

Substation

Designation

Tested By

Imager

Survey

ATS-2021 §9.2, §9.3

Areas Inspected

Not Inspected (Inaccessible / Unobservable)

Load Conditions at Time of Survey

Imager Resolves 1 °C at 30 °C

Readings In

Infrared Readings

ATS-2021 §9.4

#1 LocationComponentPh A (°F)Ph B (°F)Ph C (°F)Amb (°F)Load %

ΔT similar - · ΔT ambient -

Tech Notes / Comments / Deficiencies

Tech Notes

Comments

Deficiencies

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I attest that all tests listed herein were performed in accordance with ANSI/NETA ATS-2021 and that the results recorded are true and accurate to the best of my knowledge.

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Infrared Survey test form

Job Information

Survey

Infrared Readings

Tech Notes / Comments / Deficiencies

Finalize and sign

Infrared Survey test form

Job Information

Survey

Infrared Readings

Tech Notes / Comments / Deficiencies

Finalize and sign