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Electrical Distribution System Upgrade Impact Summary and Building Questionnaire (BM&O)
Thank you for your partnership in completing this significant upgrade to the electrical distribution system on Central and North Campus. This form is your opportunity to communicate any specific needs or impact that will need to be considered as the project advances on campus. If you have additional questions, please see the website at
go.ncsu.edu/electric
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Email Address
Your answer
Your Name
Your answer
Your Department, Unit or College
Your answer
Building Impacted
Your answer
If the building remains occupied during the outage, and Life Safety Systems are compromised, who will perform fire watch activities until the systems have been restored and verified operational?
Your answer
Do you have knowledge of any critical equipment within the facility under your management that must remain energized during the power outage?
Yes
No
Clear selection
If you answered the above question "yes" please identify the equipment.
Your answer
Is there more than one primary service or MDP in the building?
Yes
No
Clear selection
Do you have any concern with the operation of the main breaker of the MDP?
Yes
No
Clear selection
What is the age of the main breaker of the MDP?
Your answer
Provide a list of equipment you have concerns regarding restart at the conclusion of the outage.
Your answer
Does the building have back up generation?
Yes
No
Clear selection
If you answered the above question "yes" please identify the back up generation.
Your answer
Is there a single line diagram available for the building back up power?
Yes
No
Clear selection
Provide a list of services on back up power.
Your answer
Provide a list of services requiring back up power during the outage.
Your answer
Identify any receptacles that will need to be on back up power.
Your answer
Do you have any concern over operation of the generator(s)?
Yes
No
Clear selection
If you answered the above question "yes" please identify your concerns.
Your answer
Do you have any concern over operation of the ATS?
Yes
No
Clear selection
If you answered the above question "yes" please identify your concerns.
Your answer
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