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QPS EVALUATION SERVICES INC. <br /> PS US FIELD EVALUATION REPORT <br /> Page 5 of 19 <br /> File Number: QFEN 85055-3 Model Number: Ground Control Panel Date: October 26, 2023 <br /> component complies with the relevant standard. If there was no listing mark, the component would <br /> have been separately evaluated for acceptance in the application, taking into consideration the <br /> relevant UL standard. <br /> 4.2 Components Reviewed (Safety Critical) <br /> Component Acceptable Comments <br /> Circuit Breakers ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Motor Contactors ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Fuses ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Disconnect Switches ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Transformers ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Overload Relays ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Motors ® Yes ❑ No ❑ N/A UL and CSA approved <br /> AC Drives ® Yes ❑ No ❑ N/A UL and CSA approved <br /> DC Drives ❑ Yes ❑ No ® N/A <br /> Fans ❑ Yes ❑ No ® N/A <br /> Wiring ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Control Relays ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Power Supplies ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Hardware or firmware ® Yes ❑ No ❑ N/A UL and CSA approved <br /> components and wiring for <br /> safety interlock circuits <br /> 4.3 Critical Components: The components listed above and any other additional critical safety <br /> components not mentioned above are identified in the BOM and described in detail. <br /> 4.4 Supplementary Protectors: are ❑ Yes ❑ No ® N/A No such construction on the <br /> to be strictly used for overload primary branch circuits <br /> protection in a circuit based on <br /> the certification/listing criteria <br /> applicable to the particular <br /> device. They are not to be used <br /> for branch circuit protection. <br /> 4.5 Visual Inspection <br /> 4.5.1 The equipment was visually inspected with particular attention in the following areas: <br /> Acceptable Comments (If necessary) <br /> Use of"Approved" Components ® Yes ❑ No ❑ N/A UL and CSA approved <br /> Properly sized overcurrent ® Yes ❑ No ❑ N/A Motors and transformer are <br /> protection for all motors and properly protected <br /> transformers <br /> Warning Markings ® Yes ❑ No ❑ N/A Provided <br /> Wiring Ampacities ® Yes ❑ No ❑ N/A Used the NEC to verify the <br /> correct conductor size <br /> Grounding ® Yes ❑ No ❑ N/A Provided <br /> QSD 122 Rev 06 <br /> The inspection report shall only be reproduced in full with the approval of the inspection body and the client. <br />