GSA2543

Low Voltage Circuit Breaker Test Record (Less than 600 volts)

Agency
GSA
Revision
Rev. 1/1970
Fillable fields
61
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill GSA2543 online
Page 1 of form GSA2543

GSA Form 2543: Low Voltage Circuit Breaker Test Record (Less than 600 volts)

GSA Form 2543, Low Voltage Circuit Breaker Test Record (Less than 600 volts), is a one-page General Services Administration record. The footer reads GSA FORM 2543 (Rev. 1-70), and GSA hosts it in its forms library. GSA's page lists a current revision date of 01/1970 and no authority or regulation.

The form records one breaker test: whether it was scheduled, a new installation or special, the field office, building and location and circuit designation, the breaker's make, type, frame, trip device, coil rating and curve number, and the long time, short time and instantaneous range and setting. It then logs contact resistance, a megger reading and the trip units as found and as left, in amps and seconds, under AO, BO and CO.

The form ends with remarks and the analyst's name and date. It prints no instructions and does not spell out its abbreviations. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 2543: Low Voltage Circuit Breaker Test Record (Less than 600 volts), as printed by GSA

What's on GSA Form 2543

Test type and location

Check boxes for scheduled, new installation or special, then field office, building and location, and circuit designation.

Breaker details

Make, type, frame, trip device, coil rating and curve number.

Range and setting

Range and setting for long time, short time and INST., then contact resistance under AO, BO and CO, and a megger line.

Trip units as found

Minimum pick up in amps, long time and short time in amps and seconds, and INST. in amps, each under AO, BO and CO.

Trip units as left

The same rows and columns again, under the heading TRIP UNITS AS LEFT.

Remarks, analyst and date

A remarks area, the analyst's name and the date.

How to complete GSA Form 2543

  1. 1

    Mark the test type

    Check scheduled, new installation or special.

  2. 2

    Identify the location and circuit

    Enter the field office, the building and location, and the circuit designation.

  3. 3

    Describe the breaker

    Enter the make, type, frame, trip device, coil rating and curve number, then the range and setting for long time, short time and INST.

  4. 4

    Log resistance and trip units

    Record contact resistance and the megger reading, then the trip units as found and as left in amps and seconds under AO, BO and CO.

  5. 5

    Add remarks and sign off

    Note any remarks, then enter the analyst's name and the date.

The form prints no instructions. These steps follow its blocks from top to bottom.

Why fill Form GSA2543 on indox

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Routing and what the form says

Where it goes

The form prints no address or routing. It names a field office at the top and an analyst at the foot.

Edition

The footer reads GSA FORM 2543 (Rev. 1-70). GSA's page lists a current revision date of 01/1970 and no authority or regulation.

What the form does not print

No instructions, test limits, OMB number or privacy statement, and no explanation of AO, BO, CO or INST.

Related forms

Who uses GSA Form 2543?

  • The analyst

    The ANALYST (Name) block and a DATE block at the foot of the form record who did the test and when. The form has no other signature block.

  • The field office

    The FIELD OFFICE block names the office the record belongs to, above the building and location.

  • Scheduled tests

    A SCHEDULED check box is the first of three test types at the top of the form.

  • New installations and special tests

    Separate NEW INSTALLATION and SPECIAL check boxes sit beside SCHEDULED. The form says nothing more about when each applies.

The form names one role, the analyst. Its top blocks show where and why the test took place.

Official sources and the blank

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Questions about Form GSA2543

Who issues GSA Form 2543?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 2543 (Rev. 1-70). GSA hosts it in its forms library, and its page lists no authority or regulation.

What voltage does GSA Form 2543 cover?

The title reads Low Voltage Circuit Breaker Test Record (Less than 600 volts).

Who completes GSA Form 2543?

The form has one person block, ANALYST (Name), with a date beside it. It does not say who the analyst works for beyond the field office named at the top.

What is the difference between as found and as left?

The form has two trip unit tables with the same rows, one headed TRIP UNITS AS FOUND and one headed TRIP UNITS AS LEFT. It prints no further explanation.

Does GSA Form 2543 give test limits?

No. It has blank fields for readings in amps and seconds but prints no limits, settings or instructions.