Trouble and Failure Reporting

General Identification of Issue and Apparatus

Trouble or Failure*

Year of Manufacture*

Year Installed*

Please select the type of apparatus that was the primary cause of the trouble or failure*

Contact Information

Name*

First Last

Company Name*

Phone*

Please provide a contact phone number including the Country code.

Email*

Please provide a valid email address where you may be reached.

Power Transformer

Manufacturer*

Serial Number*

Transformer Type*

Other Transformer Type*

Number of Phases*

Other Number of Phases*

Form*

Other Form*

Max Power Rating (MVA)*

Winding Definitions*

Please provide at least 1, and up to 4, Winding definitions.

Winding

Voltage (kV)

Configuration

Additional Winding Definition Info

If you answered "Other" above under Winding Definitions' "Configuration", please specify.

LTC Manufacturer and Model (if applicable)

Insulating Medium Type*

Other Insulating Type*

Preservation Type*

Preservation Type (Other)*

Weather Conditions

Please describe the weather conditions

Date of Trouble or Failure (Transformer)*

Was the transformer replaced due to this issue?*

Yes

No

Are there any apparent causes of failure?*

Yes

No

Have there been other issues with this apparatus?*

Yes

No

Was there an outage as a result of the problem?*

Yes

No

Please describe the nature of the trouble/failure*

What were the methods of detecting the problem?*

Please include any additional comments below.

Please upload any images, test data, or other pertinent information.

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB, Max. files: 5.

In what ways would you improve this reporting form?

Circuit Breakers

Serial Number*

Circuit Breaker Manufacturer*

Model/Catalog Number*

Year of Manufacture*

Year of Installation*

Rated Voltage (kV)*

Rated Current (A)*

Breaker Type*

Breaker Type (Other)*

Interrupting Capacity (kVA)*

Interrupting Current (kA)*

Mechanism Type*

Mechanism Operation*

Mechanism Operation (Other)*

Have there been other issues with this apparatus?*

Yes

No

Are there any apparent causes of failure?*

Yes

No

What specific part failed?*

Please describe the nature of the trouble/failure*

What were the methods of detecting the problem?*

Was there an outage as a result of the problem?*

Yes

No

Other

Please describe the nature of the outage

Weather Conditions

Please describe the weather conditions

Please include any additional comments below.

Please upload any images, test data, or other pertinent information.

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB, Max. files: 5.

In what ways would you improve this reporting form?

Instrument Transformer

Serial Number*

Instrument Transformer Manufacturer*

Type of Instrument Transformer

Model/Catalog Number*

Year of Manufacture*

Year of Installation*

Rated Voltage (kV)*

Rated Current (A)*

Power Rating (kVA)*

Have there been other issues with this apparatus?*

Yes

No

Are there any apparent causes of failure?*

Yes

No

What were the methods of detecting the problem?*

What specific part failed?*

Was there an outage as a result of the problem?*

Yes

No

Other

Please describe the nature of the outage

Weather Conditions

Please describe the weather conditions

Please include any additional comments below.

Please upload any images, test data, or other pertinent information.

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB, Max. files: 5.

In what ways would you improve this reporting form?

Rotating Machine

Serial Number*

Rotating Machine Manufacturer*

Year of Manufacture*

Year of Installation*

Year Rewound

Rated Voltage (kV)*

Power Rating (Note HP or kW)*

Revolutions per Minute (RPM)*

Machine Type*

Machine Type (Other)*

Cooling

Cooling (Other)*

Insulation Type*

Insulation Type (Other)*

Insulation Name*

Insulation Name (Other)*

Have there been other issues with this apparatus?*

Yes

No

Are there any apparent causes of failure?*

Yes

No

What specific part failed?*

What were the methods of detecting the problem?*

Was there an outage as a result of the problem?*

Yes

No

Other

Please describe the nature of the outage

Weather Conditions

Please describe the weather conditions

Please upload any images, test data, or other pertinent information.

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB, Max. files: 5.

Please include any additional comments below.

In what ways would you improve this reporting form?

Trouble/Failure Report Summary

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FORMULARIO DE INFORMACIÓN SOBRE PROBLEMAS Y FALTAS

General Identification of Issue and Apparatus

Contact Information

Power Transformer

Bushing

Circuit Breakers

Instrument Transformer

Rotating Machine

Cable

Other Apparatus Trouble/Failure

Trouble/Failure Report Summary

Doble Engineering Company

Doble Engineering Company