Rockwell Automation 140U Q, M frame CB Electronic RMS Trip Unit installation and operation User Manual

Page 11

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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

Test Record Form

40752-072(2)

Effective

6/02

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