True RMS Meter Inspection Report

TRUE RMS METER INSPECTION REPORT AND SERVICES AGREEMENT

Report Date:

Recitals

WHEREAS, Client Name: requires inspection, verification and reporting services for true RMS meters at the Site Address identified above; and

WHEREAS, Contractor Name: represents that it is qualified to perform such inspections with calibrated reference equipment traceable to recognized standards; and

WHEREAS, the parties desire to document the scope, terms, and results of the inspection and to record observations, test readings and any corrective actions recommended or performed.

Scope of Work

Meter Identification and Installation

Manufacturer:    Model:    Serial No.:

Meter Type:    Location on Site:

Installation Date:    Last Calibration Date:

Reference Test Instrument:    Reference Serial No.:

Measured Readings (Under Specified Load Conditions)

Voltage (Vac)

Phase A (L-N):    Phase B (L-N):    Phase C (L-N):

Current (A)

Phase A:    Phase B:    Phase C:

Frequency (Hz) and Power Factor

Frequency:    Power Factor (A):    Power Factor (B):    Power Factor (C):

Total Harmonic Distortion (THD) Voltage:    THD Current:

Visual and Safety Inspection Checklist

Secure mounting and mechanical integrity

Wiring condition and conductor terminations acceptable

Labels and phase identification present and legible

Seals and tamper-evident devices intact

Grounding and bonding verified

No evidence of overheating or arcing

Functional Tests & Calibration Verification

Calibration Traceability Statement: The reference instrument identified above was calibrated and traceable to recognized standards on: . Calibration certificate/reference #:

Payment Terms

Inspection Fee Amount: $

Late Payment Charge:

Term and Termination

Contract Start Date:    Contract End Date:

Either party may terminate this Agreement for material breach by the other party if such breach is not cured within days after written notice. Termination shall not relieve Client of obligation to pay for services performed and documented to the date of termination.

Confidentiality

Contractor and Client each acknowledge that inspection data, meter configuration parameters, calibration certificates and report contents are confidential business information. Each party agrees not to disclose such information except as required by law or with prior written consent of the other party. Confidential information shall be used solely for the performance and delivery of the services described herein.

Client and Contractor acknowledge and agree to the confidentiality obligations above.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of laws principles.

Entire Agreement

This Agreement, including the inspection report fields and any attachments incorporated by reference, constitutes the entire agreement between Client and Contractor with respect to the subject matter and supersedes all prior proposals, negotiations and agreements, whether written or oral. Any amendment must be in writing and signed by both parties.

Inspector Certification

I certify under penalty of dishonesty that the inspection was performed in accordance with the Scope of Work, that the measured values recorded in this report were obtained using the reference instrument identified, and that the instrument used was within its calibration interval at time of test. The Contractor makes no warranty beyond the scope of the inspection and documentation provided herein; latent defects not observable during inspection are not covered.

Inspector Name:    Inspector License / Cert #:

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