Motor Replacement Form

General Motor Info

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Old Motor Info

Ohms Reading (Multimeter)

Ohms Reading (Megger)

Upload Peckerhead Connections

New Motor Info

Ohms Reading (Multimeter)

Ohms Reading (Megger)

Upload Peckerhead Connections

Contactor / Wire Info

Line Voltage (On top of Contactor)

Load Voltage (On Bottom of Overload)

Megger Insulation Check
(Wire from Contactor to Motor, Both Ends Unhooked)

Notes / Extra Info

Upload Additional Pic 1
Upload Additional Pic 2

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