Receive an Arc Flash Analysis Estimate

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* Company Name:

* Street Address:

* City:

* State:

* Zip:

* Phone Number:

* Person completing this form:

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1. What product(s) does your facility manufacture?
   
   
2. What is the age of your facility?
   
   
3. What is the square footage?
   
   
4. How many total employees do you have?
   
   
5. How many maintenance or electrical employees do you have that work on energized electrical components?
   
   
6. Can data be collected during normal working hours?
   
   
7. Will you provide an electrician or someone familiar with your electrical system to accompany the data collector to assist in tracing circuits and idenfying loads?
   
   
8. Will you provide a man lift or scissor lift with an operator to access overhead busways, if needed?
   
   
9. How many services come in from the electric utility?
   a.) At what voltage?
   
   
10. What is the KVA of each Utility Transformer?
    
    
11. If the facility has their own transformers > 125KVA, how many do you have?
    a.) What is the KVA of each?
    
    
12. What percent of your electrical distribution panels, breakers, etc are accurately labeled labeled as to what they feed?
    
    
13. Does the facility have any equipment operating at voltages above 480V, such as compressors, circuit breakers, fuses, etc.?
    a.) If so explain. If possible quantify in terms of HP or KVA.
    
    
14. How many MCCs (motor control centers) does the facility have?
    a.) Approximate number of buckets total in all MCC’s?
    
    
15. How many overhead busways does the facility have?
    a.) Estimated number of drops/bussplugs?
    
    
16. Estimate the number of 3-Phase panel boards in the facility:
    
    
17. Does the facility have any generators on-site for co-generation or power back-up?
    a.) If so, how many and what size?
    
    
18. What percentage of your facility has exposed ceilings versus drop ceilings ?
    
    
19. Does your facility have any large panels that require two people to open?

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