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FORMULAIRE DE DÉCLARATION DE PROBLÈME ET DE DÉFAILLANCE
"
*
" indicates required fields
Step
1
of
9
11%
General Identification of Issue and Apparatus
Trouble or Failure
*
Please select...
In-Service Failure
Test Data Failure
Trouble
Modification
Year of Manufacture
*
Year Installed
*
Please select the type of apparatus that was the primary cause of the trouble or failure
*
Please select...
Power Transformer
Bushing
Circuit Breaker
Instrument Transformer
Rotating Machine
Cable
Other
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
*
Please select...
Autotransformer
Two-Winding
Three-Winding
Four-Winding
More than Four Windings
Phase-Shifting
Grounding
Reactor
Voltage Regulator
Other
Other Transformer Type
*
Number of Phases
*
Please select...
One
Three
Other
Other Number of Phases
*
Form
*
Please select...
Core
Shell
Unknown
Other
Other Form
*
Max Power Rating (MVA)
*
Winding Definitions
*
Please provide at least 1, and up to 4, Winding definitions.
Winding
Voltage (kV)
Configuration
Add
Remove
Additional Winding Definition Info
If you answered "Other" above under Winding Definitions' "Configuration", please specify.
LTC Manufacturer and Model (if applicable)
Insulating Medium Type
*
Please select...
Air
Askarel
Mineral Oil
Natural Ester
Silicone
Synthetic Ester
Other
Other Insulating Type
*
Preservation Type
*
Please select...
Conservator
Free-Breathing
Sealed Tank
Other
Preservation Type (Other)
*
Weather Conditions
Please select...
Clear
Cloudy
Heat (Excessive)
Indoors
Snow
Windy
Storm
Rain
Unknown
Other
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
Select files
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB, Max. files: 5.
In what ways would you improve this reporting form?
Bushing
Serial Number
*
Bushing Manufacturer
*
Type / Model Number
*
Catalog Number / Style / Unit / Overall
*
Rated Voltage (kV)
*
Rated Current (A)
*
Connection Type
*
Please select...
Draw Lead
Draw Rod
Bottom Connected
Other
Connection Type (Other)
Was the bushing replaced due to this issue?
*
Yes
No
Other
Bushing Replaced - Other
*
Were the sibling bushings replaced?
*
Yes
No
Other
Sibling Bushing Replaced - Other
*
Date of Trouble or Failure (Bushing)
*
Weather Conditions
Please select...
Clear
Cloudy
Heat (Excessive)
Indoors
Snow
Windy
Storm
Rain
Unknown
Other
Please describe the weather conditions
Have there been other issues with this apparatus?
*
Yes
No
Are there any apparent causes of failure?
*
Yes
No
Please describe the nature of the trouble/failure
*
Was there an outage as a result of the problem?
Yes
No
Other
Please describe the nature of the outage
What were the methods of detecting the trouble/failure?
*
Please include any additional comments below.
Please upload any images, test data, or other pertinent information.
Drop files here or
Select files
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
*
Please select...
Air Blast
Air Magnetic
Oil
SF6 Dead Tank
SF6 Live Tank
Vacuum
Recloser
Unknown
Other
Breaker Type (Other)
*
Interrupting Capacity (kVA)
*
Interrupting Current (kA)
*
Mechanism Type
*
Mechanism Operation
*
Please select...
Pneumatic
Spring
Hydraulic
Other
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 select...
Clear
Cloudy
Heat (Excessive)
Indoors
Snow
Windy
Storm
Rain
Unknown
Other
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
Select files
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
Please select...
Voltage Transformer
Current Transformer
Metering Unit
Coupling Capacitor Potential Device (CCVT)
Other
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 select...
Clear
Cloudy
Heat (Excessive)
Indoors
Snow
Windy
Storm
Rain
Unknown
Other
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
Select files
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
*
Please select...
Generator
Induction Motor
Squirrel Cage Induction Motor
Synchronous Condenser
Synchronous Converter
Synchronous Generator
Synchronous Motor
Wound Rotor Induction Motor
Steam Turbine Generator
Gas Turbine Generator
Hydro Electric Generator
DC Motor
Other
Machine Type (Other)
*
Cooling
Please select...
Air
Hydrogen
Hydrogen and Water
Water
Other
Cooling (Other)
*
Insulation Type
*
Please select...
Asphalt-Mica
Epoxy-Mica
Polyester-Mica
Shellac
Varnish
Other
Insulation Type (Other)
*
Insulation Name
*
Please select...
Armor-Seal
Armor-Cote
Coil VIP
Duraguard
Enduraseal
Epitherm
Epoxy Novolac
Everseal
Form Wound Class B
Gegard
Gegard 100
Gegard 200
Gegard 300
Gegard 400
Gegard 500
Gegard 600
Mica Mat
Mica Mat Epoxy
Micadur
Micadur Compact
Micapal
Micapal II
Micapal HP
Micarex
Micapac
Micapac I
Micapact
Micaseal II
MicaTec
Micalactic VPI
Miclad
Neccobond
Parabond
Protolastic
Random Wound
Silco-Flex
Thermolastic
Themolastic Epoxy
VI-Seal
Other
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 select...
Clear
Cloudy
Heat (Excessive)
Indoors
Snow
Windy
Storm
Rain
Unknown
Other
Please describe the weather conditions
Please upload any images, test data, or other pertinent information.
Drop files here or
Select files
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?
Cable
Cable ID
*
Cable Manufacturer
*
Year of Manufacture
*
Year of Installation
*
Operating Voltage (kV)
*
Rated Voltage (kV)
*
Cable Installation
*
Please select...
Duct Bank
Direct Buried
Indoor Installation
Metal Raceway (Indoor)
Metal Raceway (outdoor)
Metal Raceway Tunnel
Metal Conduit
Insulated Conduit
Aerial Messenger Wire
Tunnel
Submarine
Other
Cable Installation (Other)
*
Cable Length (feet)
*
Phase
*
Cables per Phase
*
Conductor Size
*
Please select...
#4 AWG
#2 AWG
1/0 AWG
2/0 AWG
3/0 AWG
4/0 AWG
250 kcmil
300 kcmil
400 kcmil
500 kcmil
600 kcmil
750 kcmil
1000 kcmil
1100 kcmil
1250 kcmil
1500 kcmil
2000 kcmil
2750 kcmil
3000 kcmil
Unknown
Other
Conductor Size (Other)
*
Conductor Material
*
Please select...
Aluminum
Copper
Unknown
Conductor Type
*
Please select...
Single-Core
Three-Core
Four-Core
Unknown/Other
Insulation Type
*
Please select...
EPR
Exelene
Genhene
Kethene
PE
PILC
PVC
Rubber
TR-XLPE
Vulkene
XLPE
Unknown
Other
Insulation Thickness
*
Please select...
100%
133%
175 mils
220 mils
375 mils
Unknown
Other
Insulation Thickness - Other
*
Armor
*
Please select...
No Armor
CLX
Lead
Steel
Unknown
Other
Armor - Other
*
Neutral Type
*
Please select...
Concentric Wire 1/3
Concentric Wire full
Copper Tape
Flat Strap
Braid
Unshielded
Unknown
Other
Neutral Type - Other
Jacket
*
Please select...
No Jacket
PVC
PP
Other
Unknown
Jacket - Other
*
Was the cable replaced due to this issue?
*
Yes
No
Other
Please describe the issue with the cable
*
Were any sibling cables replaced?
*
Yes
No
Other
Please describe the issue with the sibling cables
*
Date of Trouble or Failure (Cable)
*
Weather Conditions
Please select...
Clear
Cloudy
Heat (Excessive)
Indoors
Snow
Windy
Storm
Rain
Unknown
Other
Please describe the weather conditions
Have there been other issues with this apparatus?
*
Yes
No
What specific part failed?
*
Are there any apparent causes of failure?
*
Yes
No
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
Please include any additional comments below.
Please upload any images, test data, or other pertinent information.
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB, Max. files: 5.
In what ways would you improve this reporting form?
Other Apparatus Trouble/Failure
Serial Number
*
Manufacturer (Other)
*
Apparatus Description
*
Year of Manufacture
*
Year of Installation
Was the apparatus replaced due to this issue?
*
Yes
No
Other
Apparatus Replacement (Other)
*
Were any sibling apparatus replaced?
*
Yes
No
Other
Sibling Replacement (Other)
*
Date of Trouble or Failure (Other Apparatus)
*
Weather Conditions
Please select...
Clear
Cloudy
Heat (Excessive)
Indoors
Snow
Windy
Storm
Rain
Unknown
Other
Please describe the weather conditions
*
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
Please include any additional comments below.
Please upload any images, test data, or other pertinent information.
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB, Max. files: 5.
In what ways would you improve this reporting form?
Trouble/Failure Report Summary
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Doble Engineering Company
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®
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doblePRIME PD-Guard
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doblePRIME iO
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Gestion des données de test
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Intro à Spark P3
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Retourner
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F8
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Amplificateurs externes
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RTS
PowerBase
NERC PRC-027-1 SOLUTION
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Doble Engineering Company
PRODUITS
SURVEILLANCE D’ÉTAT CALISTO®
Moniteurs d’AGD en ligne Calisto
doblePRIME
Calisto
®
T1
Calisto H1
doblePRIME IDD
doblePRIME PD-Guard
doblePRIME Analytics
doblePRIME iO
Accessoires de surveillance Calisto
Retourner
GESTION DES ÉQUIPEMENTS D’ENTREPRISE
INSIDEVIEW®
Base de données Doble
PowerBase
Gestion des données de test
Gestion de la performance du parc de transformateurs
Retourner
TESTS ET ÉVALUATION EN SERVICE
Intro à Spark P3
Spark P3
PDS100
PDS200
Myrkos
DFA300
DOMINO USS
LCM500
Accessoires de DP
Retourner
HUILES DE RÉFÉRENCE
Atlantis
True North
Retourner
TESTS ET ÉVALUATION HORS LIGNE
M4100
M5500
Logiciel SFRA v6
Analyseur M7100
Logiciel DTA
TDR9100
TDR900
Micro-ohmmètres
Accessoires pour analyse d’isolation
Accessoires pour disjoncteurs
Accessoires SFRA
Retourner
TESTS DE PROTECTION
F8
F8200
F8300
F6880
F6150e
F6150sv
MTS-5100
PCI-600
Amplificateurs externes
Logiciel Protection Suite
Logiciel TesT 61850
RTS
PowerBase
NERC PRC-027-1 SOLUTION
Accessoires de tests de protection
Retourner
SÉCURITÉ ET CONFORMITÉ
TCA Program
PatchAssure
Protection IEM
Services de Sécurité et de Conformité
Retourner
Retourner
SOLUTIONS
SOLUTIONS POUR TRANSFORMATEURS
SOLUTIONS POUR LES TRAVERSÉES
SOLUTIONS POUR RELAIS DE PROTECTION
SOLUTIONS POUR LES DISJONCTEURS
SOLUTIONS POUR MACHINES TOURNANTES
SOLUTION POUR CÂBLES
Retourner
SERVICES AUX CLIENTS
SERVICES AUX CLIENTS
BASE DE CONNAISSANCES DOBLE
TECHNICIENS DE MAINTENANCE
INTL. CONFERENCE OF DOBLE CLIENTS
FORMATION PRODUIT SUR SITE
COMITÉS CLIENT
ASSISTANCE PRODUIT
LABORATOIRES
Retourner
CONSULTING & TESTING SERVICES
CONSULTING SERVICES
ONLINE PARTIAL DISCHARGE TESTING SERVICES
Retourner
SERVICES D’ANALYSES EN LABORATOIRE
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PROGRAMMES SPÉCIAUX
NOS LABORATOIRES
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