Page 1 of 3

INSPECTION FORM
VARIABLE FREQUENCY DRIVE, 600V, <37 kW ID:

Project Facility: Project Name:

Area : Bid Opportunity:

Load: VFD Location: Cell #:

Manufacturer: Model: Serial #:

VFD:
Rated Current Control
Size: V A V
Voltage: Rating: Voltage:
Fuse Mfg.
Fused Disc. Rating: A Fuse Size: A
Circuit Model:
Protection: Manufacturer:
Inst.
Breaker Rating: A A
Setting: Model:

Line Present Manufacturer:

Rating:
VFD Data

Reactor: N/A Model:

Load Present Manufacturer:

Rating:
Reactor: N/A Model:

NEMA Manufacturer: Model:

Bypass
Type: IEC
Contactor:
N/A NEMA Size: IEC Rating: A AC-3 AC-4

10 Manufacturer:
Bypass Thermal
20 Setting /
Overload Electronic Class: A
30 Rating:
Protection: Not Applicable Model:
Unknown

Control Power
Size: VA Sec. Voltage: V Primary Fuse: A Secondary Fuse: A
Transformer:

Current Transformer: Ratio: Type:

ID: Size: kW / HP Voltage: V

Motor
Data

1.00 Yes
Full Load Amps: A Service Factor: Inverter Duty Other:
1.15 No

Starter Identification Tag Installed: Yes No Visual Signs of Overheating: Yes No

Cleanliness (As Found): Good Acceptable Poor Support Insulators: Good Acceptable Poor
Visual Inspection / Cleaning

Electro/Mechanical
Connections Good Acceptable Poor Good Acceptable Poor
Interlock:

Ground Connection Good Acceptable Poor Contactor Condition: Good Acceptable Poor

Door Mechanical Good Acceptable Poor Contact Alignment: Good Acceptable Poor

Verify Bypass O/L element is correctly

Yes No N/A Exercise Circuit Breaker/MCP/Disconnect Yes
sized for the load:

Cables Supported Appropriately: Yes No Unit Cleaned: Yes Photograph Taken: Yes

Comments:

Form VFD-600V-37kW Rev 00, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-VFD-600V-37kW.doc
 Page 2 of 3
INSPECTION FORM
VARIABLE FREQUENCY DRIVE, 600V, <37 kW ID:

Test A B C Test Summary

Measurements
Contact / Pole

Bypass Contactor Test Passed

Contact Resistance (µ ) Test Inconclusive
Breaker/Disconnect Resistance Further Investigation Required.
(µ ) Test Failed

Main Fuse Resistance (µ )

Comments:

Cable Dest. / Load:

Source: Isolated Note: Approval of City’s Representative is required,
Test Preparation: Disconnected
Contactor: Open prior to leaving cables connected during the test.
Connected with Load Isolated

WARNING: DISCONNECT ALL POWER CABLES FROM VFD MODULE AND ALL CONTROL POWER FUSES PRIOR TO TEST.

Insulation Resistance (M )
Ground all phases not
Insulation Resistance Test

Test Voltage
under test!
A B C

Disconnect
1000 VDC
Line to GND
Disconnect
1000 VDC
Load to GND
Disconnect
1000 VDC
Line to Load
Test Summary
Bypass Contactor Test Passed
1000 VDC
Line To GND
Test Inconclusive
Bypass Contactor Further Investigation
1000 VDC Required.
Load To GND
Test Failed
Bypass Contactor
1000 VDC
Line to Load

Comments:

Form VFD-600V-37kW Rev 00, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-VFD-600V-37kW.doc
 Page 3 of 3
INSPECTION FORM
VARIABLE FREQUENCY DRIVE, 600V, <37 kW ID:

Test Preparation: Run motor at full load.

Operational Inspection

Ramp Up Time Specified: sec Actual: sec Comments:

Measured Motor Current ØA A ØB A ØC A

VFD Motor Current ØA A ØB A ØC A

Remote (RTU/PLC/DCS)
A
Displayed Motor Current:

Ramp Down Time Specified: sec Actual: sec

Record Parameters and Settings on Separate Sheet. Comments:

Settings

Completed: Yes No

Returned to Service: Yes No Comments:

Analysis
Final

Monitoring / Further Inspection

Yes No
Required:

Repair / Replacement Required: Yes No

Company Name Signature Date (yyyy/mm/dd)

Performed By

Checked By

Note: The person performing the check is responsible for ensuring that the data is transcribed from the handwritten form correctly, and that
the analysis results are correct.

Form VFD-600V-37kW Rev 00, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-VFD-600V-37kW.doc
 Page 1 of 2
INSPECTION FORM
MOTOR STARTER, FVNR, 600V ID:

Project Facility: Project Name:

Area : Bid Opportunity:

Load: Starter Location: Cell #:

Manufacturer: Type: Serial #:

Size: Rated Voltage: V Current Rating: A Control Voltage: V

Fuse Mfg.
Fused Disc. Rating: A Fuse Size: A
Circuit Model:
Starter Data

Protection: Manufacturer:
Breaker Inst.
Rating: A A
MCP Setting: Model:

10 Manufacturer:
Thermal
Overload 20 Setting /
Electronic Class: A
Protection: 30 Rating:
Intelligent Model:
Unknown

Control Power
Size: VA Sec. Voltage: V Primary Fuse: A Secondary Fuse: A
Transformer:
A
Current Ground Present
Phases: B None Ratio: Ratio:
Transformers: Fault CT: Not Present
C

ID: Size: kW / HP Voltage: V

Motor
Data

Full Load Amps: A Service Factor: Other:

Starter Identification Tag Installed: Yes No Visual Signs of Overheating: Yes No

Cleanliness (As Found): Good Acceptable Poor Support Insulators: Good Acceptable Poor
Visual Inspection / Cleaning

Electro/Mechanical
Connections Good Acceptable Poor N/A Good Acceptable Poor
Interlock:

Ground Connection: Good Acceptable Poor Contactor Condition: Good Acceptable Poor

Door Mechanical Good Acceptable Poor Contact Alignment: Good Acceptable Poor

Verify O/L element is correctly sized for

Yes No Exercise Circuit Breaker/MCP/Disconnect Yes
the load:

Cables Supported Appropriately: Yes No Unit Cleaned: Yes Photograph Taken: Yes

Comments:

Test A B C Test Summary

Measurements
Contact/Pole

Contact Resistance (µ ) Test Passed

Test Inconclusive
Disconnect / Breaker / MCP Further Investigation Required.
Resistance (µ ) Test Failed

Fuse Resistance (µ )

Comments:

Form MS-FVNR-600V Rev 02, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-MS-FVNR-600V.doc
 Page 2 of 2
INSPECTION FORM
MOTOR STARTER, FVNR, 600V ID:

Cable Dest. / Load:

Source: Isolated Note: Approval of City’s Representative is required,
Test Preparation: Disconnected
Contactor: Open prior to leaving cables connected during the test.
Connected with Load Isolated
Insulation Resistance Test

Insulation Resistance (M )
Ground all phases not
Test Voltage
under test!
A B C

Contactor Line To GND 1000 VDC Test Summary

Test Passed
Contactor Load To GND 1000 VDC Test Inconclusive
Further Investigation
Required.
Contactor Line to Load 1000 VDC Test Failed

Comments:

Returned to Service: Yes No Comments:

Analysis
Final

Monitoring / Further Inspection

Yes No
Required:

Repair / Replacement Required: Yes No

Company Name Signature Date (yyyy/mm/dd)

Performed By

Checked By

Note: The person performing the check is responsible for ensuring that the data is transcribed from the handwritten form correctly, and that
the analysis results are correct.

Form MS-FVNR-600V Rev 02, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-MS-FVNR-600V.doc
 Page: 1 of 2
INSPECTION FORM
AC MOTOR, LOW VOLTAGE ID:
Project
Facility: Project Name:

Area : Bid Opportunity:

Size: kW / HP Voltage: V R.P.M:

Motor Data

Manufacturer: Model: Serial Number:

Frame Type: FLA: A Service Factor: Other:

Air Winding
Cooling: # Cooling Fans:
Fan Material:

Motor Identification Tag Installed: Yes No Visual Signs of Overheating: Yes No

Connections: Good Acceptable Poor Air Baffles: Good Acceptable Poor

Visual Inspection / Cleaning

Paint: Good Acceptable Poor Filter Media: N/A Good Acceptable Poor

Cooling Fans: N/A Good Acceptable Poor Fan Controls: N/A Good Acceptable Poor

Anchorage/Alignment: Good Acceptable Poor

Ground Connection: Good Acceptable Poor

Mechanical/Electrical Noise During

Yes No Lubrication Required: Yes No
Operation:

Cleanliness (As Found): Good Acceptable Poor Unit Cleaned: Yes Photograph Taken: Yes

Test Resistance (M ) Dielectric

Winding Polarization
Stator Winding Voltage Absorption
Temperature (°C) 30 Sec 1 min. 10 min. (a) Index (a)
(Vdc) Ratio
Winding Insulation Resistance

- -
500
40

- -
500
40

- -
500
40

Notes:
(a) Testing to 10 minutes and calculation of Polarization Index is only required for motors > 150 kW (200 HP)
Test Summary Test Passed Test Inconclusive. Further Investigation Required. Test Failed

Resistance ( ) Test Summary

Resistance

A-B B–C A-C Test Passed

Winding

Test Inconclusive
Further Investigation Required.
Test Failed

Comments:

Form F-MTR-LV Rev 01, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-MTR-LV.doc
 Page: 2 of 2
INSPECTION FORM
AC MOTOR, LOW VOLTAGE ID:

Not Applicable
Bearing Insulation

Test Voltage Bearing Resistance (M )

Bearing
Resistance

(Vdc) Temperature (°C) 1 min. Corrected to 40°C

500

500

Test Summary Test Passed Test Inconclusive. Further Investigation Required. Test Failed

Not Applicable
Actual Winding Temperature: °C Actual Bearing Temperature °C
Calculated Calculated
Resistance Resistance
RTD Temperature RTD Temperature
( ) ( )
(°C) (°C)
RTD Resistance

Test Summary Test Passed Test Inconclusive. Further Investigation Required. Test Failed

Note: Test connection resistance of bolted connections. Report on cable inspection sheet.

Returned to Service: Yes No Comments:

Analysis
Final

Monitoring / Further Inspection

Yes No
Required:

Repair / Replacement Required: Yes No

Company Name Signature Date (yyyy/mm/dd)

Performed By

Checked By
Note: The person(s) performing the check is responsible for ensuring that the data is transcribed from the handwritten form correctly, and
that the analysis results are correct.

Form F-MTR-LV Rev 01, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-MTR-LV.doc
 Page 1 of 1
INSPECTION FORM
POWER CABLE < 1000V Cable ID:

Project Facility: Project Name:

Area : Bid Opportunity:

Source: Dest. / Load:

Manufacturer: Type: Conductor: Copper Aluminum

Cable Data

No. of AWG Measured Previous Data

Size: Length: m
Conductors: MCM Jacket Markings TDR
Operating
Rated Voltage: V V Date Installed:
Voltage:
Cable Tray EMT Alum. Conduit Direct Buried
Installation: Other:
Strapped Steel Conduit PVC Conduit Underground Duct

Physical Damage on Exposed Ends: Yes No Cable Identification Tag Installed: Yes No
Inspection
Visual

Visual Signs of Overheating: Yes No Cable Supported Appropriately: Yes No

Bend Radius Acceptable: Yes No Comments:

Source: Cable Dest. / Load: Note: Approval of City’s Representative

Test
Disconnected Disconnected is required, prior to leaving cables
Preparation:
Connected with Source Isolated Connected with Load Isolated connected during the test.
Insulation Resistance Test

Ground all conductors not under test for each

Cable Temperature: °C Temperature Correction Factor for 20°C:
reading.

Insulation Resistance (M )
Test Test Summary
Voltage
A-GND B-GND C-GND N-GND
Test Passed
Test Inconclusive
Reading
Further Investigation Required.
V Test Failed
Corrected to 20oC

Utilize 1000VDC Test Voltage for 600V rated cables, 500VDC for cables rated <= 300V.

Comments:

Note: Torque check required for all cables. Connection Resistance Test required for cables 4/0 AWG or larger.
Connection Resistance

Connection Resistance ( ) - As Left

Termination Torque Check
A B C N

Source OK

Dest. / Load OK

Comments:

Cable Returned to Service: Yes No Comments:

Analysis
Final

Monitoring / Further Inspection Required: Yes No

Repair / Replacement Required: Yes No

Company Name Signature Date (yyyy/mm/dd)

Performed By

Checked By

Form CBL-LV Rev 00, Created by SNC-Lavalin Inc.

L:\40ENG\Clients\City of Winnipeg\Forms\Electrical\F-CBL-LV.doc