To complete the FM approval process, fill out this form and return it to the nVent Customer Service Center
(fax number (650) 361-6711).
Company Name
Purchase Order No.
Reference
Drawing(s)
Circuit ID No.
Initials
Test Value/
Remarks Date
AREA:
GROUND-FAULT EQUIPMENT
Protection:
Auto-ignition temperature (AIT)
Make and model
Group classification
Ground-fault equipment protection
device trip level (mA)
HEATER CIRCUIT:
INSTALLATION INSTRUCTIONS:
Heating cable type
Correct components per manufacturer’s
specification
Supply voltage
Seal fittings opened and inspected
(properly poured)
Circuit length
Ground-leakage device tested
Maximum pipe temperature
Heat temp. identification number (T-rating)
COMPONENTS:
GROUND-FAULT EQUIPMENT PROTECTION:
Power connection
Make and model
End seal
Ground-fault equipment protection device trip level (mA)
Tee connection
Spice
INSTALLATION INSTRUCTIONS:
Correct components per manufacturer’s specification
Seal fittings opened and inspected (properly poured)
Ground-leakage device tested
INSULATION RESISTANCE TESTING:
Minimum insulation resistance must be 1000mΩ.Iflessthan1000mΩseeTroubleshootingGuide(pages12 and 13).
Heating Cable Test 1 (refer to Step 16a and b of HAK-C-100 installation instructions)
Instrument used:
Calibration due date:
Measured before thermal insulation is installed:
500 Vdc
1000 Vdc
2500 Vdc
Date:
InsulationResistanceTestA(Ω)
Date:
InsulationResistanceTestB(Ω)
Post-Thermal-Insulation Heating Cable Test 2 (refer to Steps 21 and 16b of HAK-C-100 installation instructions)
Instrument used:
Calibration due date:
Measured after thermal insulation is installed:
500 Vdc
1000 Vdc
2500 Vdc
Date:
InsulationResistanceTestA(Ω)
Date:
InsulationResistanceTestB(Ω)
Circuit Ready to Commission
Prepared by
Company
Date
Approved by
Company
Date
FM REQUIRED DIVISION 1 INSTALLATION RECORD
nVent.com
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