BLANK BUYER ELECTRICAL SCOPE RECORD — NOT APPROVED RATINGS OR WIRING INSTRUCTIONS

1. Project / quoted machine ID: ____________________
2. Profile drawing and revision: ____________________
3. Quoted line modules and exclusions: ____________________
4. Site supply document and responsible professional: ____________________
5. Site voltage, frequency and phases, as documented: ____________________
6. Machine incoming supply requirement and source document: ____________________
7. Incoming connection point and drawing revision: ____________________
8. Module-by-module load schedule reference: ____________________
9. Separate supply connections for auxiliaries: ____________________
10. Motor and drive manufacturer / model / rating document: ____________________
11. Delivered cabinet drawings and component list revisions: ____________________
12. Factory test supply and test report reference: ____________________
13. Site commissioning scope and responsible parties: ____________________
14. Pending differences / assigned owner / closure evidence: ____________________