42 | nVent.com
FM Required Installation Record for Class I, Division 1,
Hazardous Locations
To complete the FM approval process, this complete form
must be returned to the nVent Customer
Service Center (fax number (800) 527-5703)
Company name _____________________________________________
Purchase order no. __________________________________________
Circuit ID no. ________________________________________________
Ref. drawing(s) _____________________________________________
Area ________________________________________________________
Autoignition temp. (AIT):
____________________________________
Group classification:
________________________________________
Heater circuit
Heater type:
_________________________________________________
Supply voltage:
_____________________________________________
Circuit length:
_______________________________________________
Maximum pipe temp:
________________________________________
Temp ID (T-rating)
___________________________________________
Components
Power connection
Splice:
______________________________________________________
Tee
End seal:
____________________________________________________
Ground-fault equipment
Make and model:
____________________________________________
Device trip level:
____________________________________________
Installation instructions
Correct components per manufacturer’s specification:
______________________________________________________________________________
Seal fittings opened and inspected (properly poured):
_______________________________________________________________________________
Ground-leakage device tested:
______________________________________________________________________________________________________
Insulation resistance testing
Use 2500 Vcd for Self-Regulating and Power-Limiting cables
Instrument used:
____________________________________________
Calibration date:
As measured on the pipe before insulation installed*
Test value
Date
Initials
Insulation resistance between conductor and braid (Test A)
_________________________________________________________________________
Insulation resistance between braid and pipe (Test B)
_______________________________________________________________________________
As measured after insulation installed*
Test value
Date
Initials
Insulation resistance between conductor and braid (Test A)
_________________________________________________________________________
Insulation resistance between braid and pipe (Test B)
_______________________________________________________________________________
* Minimum insulation resistance must be 1000 MΩ
Circuit ready to commission
Prepared by
Company
Date
Approved by
Company
Date
Installation and Inspection
Records
11