Run Protective Relay Maintenance and Testing Record - PRC-005 — Free

Inspection Details

Maintenance event date and time critical (required)

Note (optional)

Facility / substation / unit name critical (required)

Relay or protection system asset ID critical (required)

Protection function / relay designation critical (required)

Applicable maintenance interval met per PRC-005 critical (required)

Yes No N/A

Work order / job number

Inspector / technician name critical (required)

Safety Preconditions and Test Readiness

Lockout-tagout applied where required critical (required)

Yes No N/A

Appropriate arc flash and shock PPE available and worn critical (required)

Yes No N/A

Test equipment calibrated and within current certification date critical (required)

Yes No N/A

Test leads, injection set, and meters visually undamaged

Yes No N/A

Control power and trip circuits verified safe for planned test method critical (required)

Yes No N/A

As-found relay settings backed up before changes critical (required)

Yes No N/A

Relay Identification and Visual Condition

Relay nameplate legible and matches asset record critical (required)

Yes No N/A

Wiring, terminal blocks, and connectors secure critical (required)

Yes No N/A

No signs of overheating, corrosion, moisture ingress, or contamination critical (required)

Yes No N/A

Indicating targets, LEDs, and alarm contacts operate as intended

Yes No N/A

Associated CT/PT secondary circuits inspected for damage or loose connections critical (required)

Yes No N/A

Functional Testing and Calibration

Pickup / operate value within acceptable tolerance critical (required)

Note (optional)

Dropout / reset value within acceptable tolerance critical (required)

Note (optional)

Operating time / trip time within expected range critical (required)

Note (optional)

Functional trip / alarm output verified critical (required)

Yes No N/A

Metering, indication, and event recording verified

Yes No N/A

Calibration adjustments performed per approved procedure critical (required)

Yes No N/A

As-Left Settings and Results

As-left settings recorded and match approved coordination study critical (required)

Yes No N/A

Settings file / screenshot attached

Protection system restored to normal operating state critical (required)

Yes No N/A

Any temporary settings or bypasses removed critical (required)

Yes No N/A

Deficiencies, Corrective Actions, and Sign-Off

Deficiencies or non-conformances identified

Relay removed from service pending corrective action

Yes No N/A

Corrective action / work order notes

Inspector / technician signature critical (required)

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Run: Protective Relay Maintenance and Testing Record - PRC-005

Inspection Details

Safety Preconditions and Test Readiness

Relay Identification and Visual Condition

Functional Testing and Calibration

As-Left Settings and Results

Deficiencies, Corrective Actions, and Sign-Off

Get your results