![background image](http://html1.mh-extra.com/html/eaton/cutler-hammer-digitrip-1150/cutler-hammer-digitrip-1150_instructions-manual_3891154042.webp)
Effective 10/2004
Page 42
I.L. 70C1036H05
Figure 8.3 Typical Performance Test Record Form
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
Number
Results Tested
by