Service Order Number: Date:

Preventative Maintenance Report Sheet 1 of 3

Uninterruptible Power Supply System

Customer:
Address:

Site contact details: Name:

Phone No:
email:

Customer's UPS Label (designation ):

UPS Model: Serial Number:

(record all digits)
UPS kVA Rating: System Type: UPS OF

Input Voltage Rating: Output Voltage Rating:

Input Frequency Rating: Output Frequency Rating:

UPS firmware revisions:

Site Environment:
(Prior to commencing maintenance record site environmental conditions. Make comments in the fields provided)
UPS location Computer Room Plant Room Other / Comment
Environment Clean Appropriate Contaminated / Comment
Air environment Air conditioned Force Ventilation Natural Ventilation
Ambient temperature surrounding UPS equipment deg. C Measured Approximated
Battery location Computer Room Plant Room Other / Comment
Accommodation Battery Cabinet Battery Rack Internal / batt pack
Environment Clean Appropriate Contaminated / Comment
Air environment Air conditioned Force Ventilation Natural Ventilation
Ambient temperature surrounding UPS batteries deg. C Measured Approximated

Comments:

UPS Mechanical:
(Transfer load to maintenance bypass and perform mechanical checks. Make comments in the fields provided)
Loose Electrical connections None Found / Comment
Bad Insulation None Found / Comment
Overheating None Found / Comment
Damage or displacement None Found / Comment
Fuses (type, value, condition) Good Deteriorated / Comment
Fans Good Deteriorated / Comment
PCB plugs & connectors Good Deteriorated / Comment
Clean UPS internally Complete
Clean UPS externally Complete
Check Battery Bank Complete Deteriorated / Comment
Comments:

VertivCo Maintenance Report Document Revision: MR 3.3 D Feb 2017

 Sheet 2 of 3
Instruments (oscilloscope, meters, etc.) used during maintenance
Description and/or Model number: Serial number:

UPS Parameters

(Record parameters from UPS display and/or metering, N/A where not applicable)
Input Frequency: (valid range: + / - 1 Hz of nominal)
UPS Display Measured value Parameters normal
Hertz Hertz Abnormal / Comment
Input Voltage: (valid range: + / - 10% of nominal UPS voltage)
UPS Display Measured value Parameters normal
R phase Vrms R phase Vrms Abnormal / Comment
S phase Vrms S phase Vrms
T phase Vrms T phase Vrms
Earth -- Neutral
Input Current: (valid range: 0% to 100% of UPS input current, refer UPS manual)
UPS Display Measured value Parameters normal
R phase Arms R phase Arms Abnormal / Comment
S phase Arms S phase Arms
T phase Arms T phase Arms

Output Frequency: (valid range: + / - 1 Hz of nominal)

UPS Display Measured value Parameters normal
Hertz Hertz Abnormal / Comment
Output Power Factor: (numeric value) Lagging
Leading
Output Voltage: (valid range: + / - 10% of nominal UPS voltage)
UPS Display Measured value Parameters normal
R phase Vrms R phase Vrms Abnormal / Comment
S phase Vrms S phase Vrms
T phase Vrms T phase Vrms
Earth -- Neutral
Output Current: (valid range: 0% to 100% of UPS output current, refer UPS manual)
UPS Display Measured value Parameters normal
R phase Arms R phase Arms Abnormal / Comment
S phase Arms S phase Arms
T phase Arms T phase Arms
Neutral Arms Neutral Arms

UPS load R ph kVa kW UPS load at R ph % Below 80% capacity

S ph kVa kW S ph % Above 80% capacity
T ph kVa kW T ph % UPS Overload / Comment
UPS total load kVa kW Total load percentage %
Phase Overload / Comment
UPS DC Bus Voltage: (valid range: refer UPS manual)
UPS Display Measured value Parameters normal
Volts DC Volts DC Abnormal / Comment
Ripple Vrms

Battery Bank: (refer UPS manual and battery manufacturers specification)

Float Voltage Float Current Parameters normal
Volts DC Amps DC Abnormal / Comment
Ripple Volts rms Ripple Arms

Harmonic Filter Current: (valid range: refer UPS manual)

Input Filter Output Filter Parameters normal
R phase Arms R phase Arms Abnormal / Comment
S phase Arms S phase Arms
T phase Arms T phase Arms

Comments:

VertivCo Maintenance Report Document Revision: MR 3.3 D Feb 2017

 UPS Parameters (continued) Sheet 3 of 3
Control Power Supplies: (refer UPS manual)
24 Volts DC 12 Volts DC Other DC
Positive Positive 8 Volts DC
Negative Negative 5 Volts DC

Parameters normal Abnormal / Comment

UPS Functional Check
(initiate an action on UPS equipment to verify functions below)
Check UPS audible alarm Functional Abnormal / Comment Not applicable

Check UPS LED (light emitting diode) indicators Functional Abnormal / Comment Not applicable

Check UPS LCD (liquid crystal display) panel Functional Abnormal / Comment Not applicable

Check UPS control switches / buttons Functional Abnormal / Comment Not applicable

Check UPS transfer to / from bypass Functional Abnormal / Comment Not applicable

Check UPS external bypass interlock Functional Abnormal / Comment Not applicable

Check UPS synchronisation to bypass supply Functional Abnormal / Comment

Check UPS remote alarm & communication options Relay Card Functional Web/SNMP Card Functional

Abnormal / Comment No connection to options

No options fitted Not applicable

Comments:

UPS Battery details:

Battery type: Number of battery strings:

Battery date code: Number of batteries per string:

Conclusion:

Full name Signature Date

Customer:
Vertiv Engineer:

VertivCo Maintenance Report Document Revision: MR 3.3 D Feb 2017

 Additional data
Battery Check Record

Battery String No: 1 Battery String No: 2 Battery String No: 3

Cell No: Float Voltage Cell No: Float Voltage Cell No: Float Voltage
1 1 1
2 2 2
3 3 3
4 4 4
5 5 5
6 6 6
7 7 7
8 8 8
9 9 9
10 10 10
11 11 11
12 12 12
13 13 13
14 14 14
15 15 15
16 16 16
17 17 17
18 18 18
19 19 19
20 20 20
21 21 21
22 22 22
23 23 23
24 24 24
25 25 25
26 26 26
27 27 27
28 28 28
29 29 29
30 30 30
31 31 31
32 32 32
33 33 33
34 34 34
35 35 35
36 36 36
37 37 37
38 38 38
39 39 39
40 40 40
41 41 41
42 42 42
Comments: