SINGLE PHASE UPS PRE-INSTALLATION REPORT

Visit-1 dt./time
PIR No.

Visit- 2 dt./time Equip. Type UPS

Customer Name & Site Address Equip. Model
Visit-3 dt./time User Name
User Contact No
Visit-4 dt./time UPS Configuration
Battery
Complete dt./time Configuration
Required Specifications for UPS Installation. Ground Resistance Humidity Level Inside UPS Room %
N* R N R
I/P Volt I/P Hz I/P Amp. I/PMCB I/P Cable
O/P Volt O/P Hz N O/P MCB O/P Cable Max. Ambient Temperature in UPS Room °C
E-N < = 2 Volt Min space for UPS in mm. W D H Min space for batt bank in mm. W D H
Important:As per manufacturers recommended ambient temperature for maximum battery life is < 25 Celsius. Higher ambient will reduce the life of batteries
SN Parameters Visit-1 Visit-2 Visit-3 Visit-4
All values to be matched to the above specification table Measured Status Measured Status Measured Status Measured Status
1 Input Voltage Ok Fail Ok Fail Ok Fail Ok Fail
2 Input Frequency (Hz) Ok Fail Ok Fail Ok Fail Ok Fail
3 Input Cable (Cu) (sq.mm.) Ok Fail Ok Fail Ok Fail Ok Fail
4 Output MCB Ok Fail Ok Fail Ok Fail Ok Fail
5 Output Distribution Box MCB Ok Fail Ok Fail Ok Fail Ok Fail
6 Environment (Air-conditioned/ Ventilated) A/C Venti Ok Fail A/C Venti Ok Fail A/C Venti Ok Fail A/C Venti Ok Fail
7 Humidity inside UPS room Ok Fail Ok Fail Ok Fail Ok Fail
8 Earthing - Neutral Voltage Ok Fail Ok Fail Ok Fail Ok Fail
9 Ground Resistance Ok Fail OK Fail Ok Fail Ok
10 Minimum Space for UPS Ref. Above Ok Fail Ref. Above Ok Fail Ref. Above Ok Fail Ref. Above Ok Fail
11 Min Space for Batt Bank Ref. Above Ok Fail Ref. Above Ok Fail Ref. Above Ok Fail Ref. Above Ok Fail
12 Others Ok Fail Ok Fail Ok Fail Ok Fail
Single line diagram of the UPS connection
Input power Output power
Cable______Sq mm Cable______Sq mm
X 3 Nos X 3 Nos
Input Supply
Single Phase with Ground
__________________

To Further load distribution

UPS Rating
_______ VA

Input MCB Output MCB

single Pole. single Pole.
Rating________A Rating________A

Customer Feedback Engineer's Comment

Customer's Signature FSE Sign

Additional Notes if any