Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Job Number
Date
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Select date
Customer Name
Site Address
Work Carried Out
Circuit or Equipment Type
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Visual Inspection Complete
Protection Size & Type
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Phase Type
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Cable Size
- 1
- 1.5
- 2.5
- 4
- 6
- 10
- 16
- 25
- 35
- 50
- 70
- 95
- 120
- 240
Continuity Test : Ohms
Insulation Resistance : Megohms
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Polarity Test : Equipment or Circuit<br>
Fault Loop Impedance Test : Ohms
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Operational Test
Circuit or Equipment Type
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Visual Inspection Complete
Protection Size & Type
-
Phase Type
-
Cable Size
- 1
- 1.5
- 2.5
- 4
- 6
- 10
- 16
- 25
- 35
- 50
- 70
- 95
- 120
- 240
Continuity Test: Ohms
Insulation Resistance: Megohms
-
Polarity Test Equipment or Circuit
Fault Loop Impedance: Ohms
-
Operational Test
Circuit or Equipment
-
Visual Inspection Complete
Protection Size & Type
-
Phase Type
-
Cable Size
- 1
- 1.5
- 2.5
- 4
- 6
- 10
- 16
- 25
- 35
- 50
- 70
- 95
- 120
- 240
Continuity Test - Ohms
Insulation Resistance- Megohms
-
Polarity Test
Fault Loop Impedance Test - Ohms
-
Operational Test
Circuit or Equipment
-
Visual Inspection Complete
Protection Size & Type
-
Phase Type
-
Cable Size
- 1
- 1.5
- 2.5
- 4
- 6
- 10
- 16
- 25
- 35
- 50
- 70
- 95
- 120
- 240
Continuity Test - Ohms
Insulation Resistance- Ohms
-
Polarity Test Equipment or Circuit
Fault Loop Impedance Test- Ohms
-
Operational Test
Circuit or Equipment
-
Visual Inspection Complete
Protection Size & Type
-
Phase Type
-
Cable Size
- 1
- 1.5
- 2.5
- 4
- 6
- 10
- 16
- 25
- 35
- 50
- 70
- 95
- 120
- 240
Continuity Test- Ohms
Insulation Resistance Test- Megohms
-
Polarity Test Equipment or Circuit
Fault Loop Impedance- Ohms
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Operational Test
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Tested By
I certify that the electrical installation,to the extent that is effected by the electrical work,has been tested to ensure it is electrically safe and is accordance with the requirements of the wiring rules and any other standard applying to the electrical installation under state legislation.
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Examiner's Signiture