SITE TEST REPORT Date :

Customer:
Contractor’s name:
NG-SA
ALFANAR CO.
Name of substation: Dammam Housing 115/13.8KV Substation # 3 NG-SA Contract No. :
4400006264
AUX.RELAY (OMRON MM4X TYPE) TEST
Page 1 of 2
Panel/ Bay No: Equip. No.: Dwg. Ref.: Record No.:

1. GENERAL DATA AND INFORMATION:

Panel No. Designation

Make OMRON Type MM4X

Serial No. Aux. Voltage 125VDC

Model No. MM4XP No. of Contacts 4PDT = 4C/O Contacts

TEST DATE: TEST EQUIPMENT CALIB.DATE & DETAIL

TESTING ENGINEER CSD- Engineer

Signature: ________________ Signature: ________________

Name : ________________ Name : ________________
 SITE TEST REPORT Date :
Customer:
Contractor’s name:
NG-SA
ALFANAR CO.
Name of substation: Dammam Housing 115/13.8KV Substation # 3 NG-SA Contract No. :
4400006264
AUX.RELAY (OMRON MM4X TYPE) TEST
Page 2 of 2
Panel/ Bay No: Equip. No.: Dwg. Ref.: Record No.:

ELECTRICAL TEST
Note: (4PDT) means. (4Pole Double Throw) = 4 C/O contacts arrangement

1.1 PICKUP & drop off test:

Pick UP Drop off Contact

Voltage (V) Current (mA) Voltage (V) Current (mA) terminals

Pickup Voltage Limit: 70% max Drop off Voltage Limit: 10%min

1.2 Operating and drop off time test:

Operating time (mS) Contact Terminals Reset time (mS) Contact Terminals

Limits: Operating time (mSec) = 50mSec Resetting Time (mSec) =30mSec

1.3 Relay burden test:

RELAY BURDEN
VOLTAGE APPLIED MEASURE RELAY BURDEN
MEASURED
(VOLTS) CURRENT (mA) ACTUAL VALUE
VALUE
220V AC
Burden Limits: Approx. 2.7W

4. TEST EQUIPMENT USED:

Calibration
No. Test Equipment Serial Number Calibration due date
date
1
2

TEST DATE: TEST EQUIPMENT CALIB.DATE & DETAIL

TESTING ENGINEER CSD- Engineer

Signature: ________________ Signature: ________________

Name : ________________ Name : ________________