## Record start up operating parameters below:

| Data | Design | Actual | Actual | Actual | Actual | Actual |
| --- | --- | --- | --- | --- | --- | --- |
| Tag# |  |  |  |  |  |  |
| Voltage |  |  |  |  |  |  |
| Current |  |  |  |  |  |  |
| Phase |  |  |  |  |  |  |
| MotorRPM |  |  |  |  |  |  |
| Horsepower(HP) |  |  |  |  |  |  |
| ServiceFactor |  |  |  |  |  |  |
| BeltSize&Quantity |  |  |  |  |  |  |

## Record start up operating parameters below:

| Data | Design |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- |
| Tag # |  |  |  |  |  |  |
| Voltage |  |  |  |  |  |  |
| Current |  |  |  |  |  |  |
| Phase |  |  |  |  |  |  |
| Motor RPM |  |  |  |  |  |  |
| Horsepower(HP) |  |  |  |  |  |  |
| Service Factor |  |  |  |  |  |  |
| Belt Size&Quantity |  |  |  |  |  |  |

## Record start up operating parameters below:

| Data | Design |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- |
| Tag# |  |  |  |  |  |  |
| Voltage |  |  |  |  |  |  |
| Current |  |  |  |  |  |  |
| Phase |  |  |  |  |  |  |
| MotorRPM |  |  |  |  |  |  |
| Horsepower(HP) |  |  |  |  |  |  |
| ServiceFactor |  |  |  |  |  |  |
| BeltSize&Quantity |  |  |  |  |  |  |

**Note: Insert N/A in those deemed not applicable.**

**Performed By: Print Name Initials Date**
