Eaton Cutler-Hammer Digitrip 520M Instructions Manual page 28

I.L. 70C1037H02
Page 28
GROUND FAULT TEST RECORD FORM
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 Circuit Breaker Results Tested by
Number
Figure 8.3 Typical Performance Test Record Form
Effective 8/13/99
Courtesy of NationalSwitchgear.com