trf-template2006final_iecen

8/4/2019 TRF-Template2006Final_IECEN

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Test Report issued under the responsibility of:

TEST REPORTIEC/EN 6x xxx

Title of the IEC/EN Standard

Report Reference No......................:

Date of issue....................................:

Total number of pages......................

CB/CCA Testing Laboratory. .:

Address.....................................:

Applicants name............................:

Address............................................:

Test specification:

Standard...........................................: IEC 6x xxx-2-xx:YYYY (xx Edition) with

IEC 6x xxx-1:YYYY (xx Edition) and/or

EN 6x xxx-2-xx:YYYY (xx Edition) with

EN 6x xxx-1:YYYY (xx Edition)

Test procedure.................................: CB / CCANon-standard test method..: N/A

Test Report Form No......................: IECEN 6xxxx_xY

Test Report Form(s) Originator........: Name of Originator

Master TRF......................................: Dated

Copyright 2007 IEC System for Conformity Testing and Certification of Electrical Equipment(IECEE), Geneva, Switzerland. All rights reserved.

This publication may be reproduced in whole or in part for non-commercial purposes as long as the IECEE is acknowledged ascopyright owner and source of the material. IECEE takes no responsibility for and will not assume liability for damages resulting fromthe reader's interpretation of the reproduced material due to its placement and context.

If this Test Report Form is used by non-IECEE members, the IECEE/IEC logo and the reference to the CB Schemeprocedure shall be removed.

This report is not valid as a CB Test Report unless signed by an approved CB Testing Laboratory and appended

to a CB Test Certificate issued by an NCB in accordance with IECEE 02.

If this Test Report Form is used by non-CCA members, the CIG logo and the reference to the CCA Procedure shall be

removed.

This report is not valid as a CCA Test Report unless signed by an approved CCA Testing Laboratory and

appended to a CCA Test Certificate issued by an NCB in accordance with CCA

Test item description.....................:

Trade Mark.......................................:

Manufacturer....................................:

Model/Type reference......................:


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Ratings.............................................:


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Page 3 of 13 Report No.

Testing procedure and testing location:

CB/CCA Testing Laboratory:

Testing location/ address.......................:

Associated CB Laboratory:


Tested by (name + signature)......:

Approved by (+ signature)...........:

Testing procedure: TMP


Approved by (+ signature)............:


Testing procedure: WMT


Witnessed by (+ signature)...........:

Approved by (+ signature)...........:


Testing procedure: SMT



Supervised by (+ signature).........:

Testing location/ address................:

Testing procedure: RMT



Supervised by (+ signature).........:


TRF No. IEC/EN 6x xxx_xy


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Summary of testing:

Tests performed (name of test and test clause): Testing location:

Summary of compliance with National Differences:

Copy of marking plate


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Test item particulars................................................:

Classification of installation and use...........................:

Supply Connection....................................................:

..................................................................................:

..................................................................................:

Possible test case verdicts:

- test case does not apply to the test object................: N/A

- test object does meet the requirement......................: P (Pass)

- test object does not meet the requirement................: F (Fail)

Testing......................................................................:

Date of receipt of test item..........................................:

Date (s) of performance of tests.................................:

General remarks:

The test results presented in this report relate only to the object tested.This report shall not be reproduced, except in full, without the written approval of the Issuing testinglaboratory."(See Enclosure #)" refers to additional information appended to the report."(See appended table)" refers to a table appended to the report.

Note: This TRF includes EN Group Differences together with National Differences and SpecialNational Conditions, if any. All Differences are located in the Appendix to the main body of this TRF.

Throughout this report a comma (point) is used as the decimal separator.

General product information:



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.............................................................................:

.............................................................................:

.............................................................................:

.............................................................................:

.............................................................................:

.............................................................................:



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IEC/EN 6x xxx

Clause Requirement + Test Result - Remark Verdict

TABLE:

.............................................................................:

.............................................................................:

supplementary information:

TABLE:

Comments


TABLE:

.............................................................................:

.............................................................................:

.............................................................................:

.............................................................................:




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TABLE:

result


TABLE:

.............................................................................:

.............................................................................:

Supplementary information:

TABLE: Heating Test

Test voltage (V).....................................................:

Ambient (oC).........................................................:

Thermocouple Locations max. temperature measured,(oC)

max. temperature limit,

(oC)



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IEC/EN 6x xxx


TABLE:


TABLE: dielectric strength

test voltage applied between: test potential applied (V) breakdown / flashover

(Yes/No)


TABLE: impact resistance

impacts per surface surface tested impact energy ( Nm ) comments


TABLE: electrical data (in normal conditions)

fuse # I rated (A) U (V) P (W) I (mA) I fuse (mA) condition/status




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TABLE: clearance and creepage distance measurements

clearance cl and creepagedistance dcr at/of:

Up(V)

U r.m.s. (V) required cl(mm)

cl (mm) required dcr(mm)

dcr(mm)


TABLE: distance through insulation measurements

distance through insulation di at/of: U r.m.s.(V)

test voltage(V)

required di(mm)

di(mm)


TABLE: ball pressure test of thermoplastics

allowed impression diameter (mm) .......................:

part test temperature (C) impression diameter

(mm)




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IEC/EN 6x xxx


TABLE: threaded part torque test

threaded part identification diameter of thread(mm)

column number( I, II, or III)

applied torque ( Nm )


TABLE: over-voltage and under-voltage test

test operatingcondition

rated voltage(V)

test voltage(V)

temperature(oC)

comments




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National Differences for (country name) and/or Group Differences

.............................................................................:

.............................................................................:

.............................................................................:

.............................................................................:

.............................................................................:

.............................................................................:



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List of test equipment used:(Note: This is an example of the required attachment. Other forms with a different layout butcontaining similar information are also acceptable.)

Clause Measurement /testing Testing / measuring equipment /material used Range used Calibrationdate


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