APS

SU

Customer Information

Equipment Information

Site ID :

Equipment Tag # :

Customer Name :

Equipment Model # :

Customer Site Reference :

Equipment Description :

Address :

Customer Equipment Reference :

City/State/Zip :

Warranty Coverage Dates :

Facility Manager :

Contract Type :
Contract Coverage Dates :

Service Information
Date Service Performed :
Ticket Number :
Service Performed :
Customer Engineer Name :

Maintenance Checks
1

Perform a temperature check on all breakers, connections, and associated controls. Repair and/or
report all high temperature areas.

Perform a complete visual inspection of the equipment, including all modules, wiring harnesses,
contacts, transformer, EMI assembly and fans.

Check all nuts, bolts, screws, and connectors for tightness and heat discoloration.

Inspect for broken, brittle, damaged, or heat stressed components and cables.

Clean any foreign material and dust from internal compartments.

Perform a status check of alarm circuits.

Perform an operational test of the system including unit transfer to and from bypass.

Perform an operational test of the system including unit transfer to and from battery.

Verify correct Firmware revisions are installed.

10 Apply the system to normal load and verify the output voltage.
11 Review system performance with customer to address any system questions.

End of Page 1

COMPANYCONFIDENTIALThisinformationistheconfidentialandproprietarypropertyofEmersonNetworkPower,anEmerson
Business,andisforexclusiveusebyitsauthorizedemployees.Accessto,anduse,duplication,ortransmissionofthisinformation
byothersortootherswithoutthepriorwrittenapprovalofanofficerofEmersonNetworkPowerisprohibited.

    / Date Service Performed:

Tag#:

Electrical Readings
Input

Voltage AC (Volts)
A-B

Current AC (Amps)

B-C

C-A

n/a

n/a

n/a

n/a

Frequency (Hz)

Bypass

Voltage AC (Volts)
A-B

B-C

C-A

n/a

n/a

Frequency (Hz)

Output

Voltage AC (Volts)
A-B

Current AC (Amps)

B-C

C-A

n/a

n/a

n/a

n/a

Frequency (Hz)
20
DC

Voltage VDC (Volts)

Battery Bus

Performance Note

Signature on File

This service is covered under Emerson Network Power Liebert Services

standard terms and conditions. Please contact the Customer Resolution
Center at 1-800-Liebert to schedule a service visit or if you have any
questions regarding this service report. We appreciate your business.

COMPANYCONFIDENTIALThisinformationistheconfidentialandproprietarypropertyofEmersonNetworkPower,anEmerson
Business,andisforexclusiveusebyitsauthorizedemployees.Accessto,anduse,duplication,ortransmissionofthisinformation
byothersortootherswithoutthepriorwrittenapprovalofanofficerofEmersonNetworkPowerisprohibited.