I.L. 29C615E
Ground Fault Test Record should be Retained by Those in Charge of the Building's Electrical
Installation in order to be available to the Authority having Jurisdiction.
Test Date
Fig. 16
Typical Performance Test Record Form
Effective March 2003
Courtesy of NationalSwitchgear.com
GROUND FAULT TEST RECORD FORM
Circuit
Breaker
Number
Results
Page 11
Tested By: