ELECTRICAL DIAGNOSTIC CHECK LIST

Date
Unit Serial Number

Submitted By

DANGER!
Read and follow all safety precautions outlined in the instruction manual before troubleshooting!

Note: Provide all details and attach photos whenever possible!

Description of Issue:

Motor Nameplate Data

Vendor Brand Name
Rated Voltage

120 Volt

Rated H.P.
Phase

Vendor Catalog Number

208 Volt

230 Volt

460 Volt

Rated Full Load Amps

Single

Three

Motor Enclosure

Other

575 Volt

Rated Service Factor

Frequency

ODP

Quincy Part Number

50 Hz

60 Hz

TEFC

Application Data
NEMA Environment

NEMA-1

NEMA-4

NEMA-4X

Other

NEMA-12

In-coming Line Voltage

@ L1-L2

@ L2-L3

@ L3-L1

*Voltage Drop (during start-up)

@ L1-L2

@ L2-L3

@ L3-L1

*Running Current (amps per leg) @ L1

*Coil Voltage

120 Volt

208 Volt

@ L2

230 Volt

460 Volt

@ L3

Other

575 Volt

*Measure at the motor starter.

Frequency of Operation

Starts per Hr.

Run Time

Full Load Amp Setting on the Overload Relay

Discolored Screw Terminals
Environment

Dusty

Yes
Humid

No

Off Time

Overload Relay Tripped

Loose Connections

Well Ventilated

No

Yes

No

Yes / Location

Ambient Temp.

Vibration

Circuit Breaker Data

Tripped

Yes

No

Manufacturer

Amp Rating

VAC Rating

Motor Fuses Data

Qty. Blown

Manufacturer

Type

Amp Rating

VAC Rating

Form Serv-001