Title Page
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Document No.
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Client Name & Site Location
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Description of Item Being Inspected
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Conducted on
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Prepared by
ITEM IDENTIFICATION
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Has the item had the annual portable appliance testing carried out (PAT) and is this is date?
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Does the item have an Alliance Cleaning Asset Number- please document in notes section?
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Does the item have an Manufacturers Serial Number- please document in notes section?
GENERAL CONDITION
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Is the item free from any missing parts or loose parts ?
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Are all carrying handles and handgrips in place securely ?
PLUG (External) NEVER OPEN THE PLUG TO INSPECT
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Is the casing of the plug free from any cracks or damage?
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Is the plug casing in good condition ?
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Is the plug free from scorch marks ?
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Is the cable fitted firm into the plug ?
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Are all of the coloured conductor wires free from exposure when entering the plug ?
CABLE
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Is the cable free from damage (no cuts, cracks, bare conductor wires, heat damage) ?
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Is the cable free from other joints (there should only be plug and cable) ?
APPLIANCE
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Is the structural condition of the equipment safe with no external damage ?
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Is the piece of equipment free from signs of over heating ?
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Is the cable running into the structure of the appliance firm and not loose ?
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Is the cable running into the appliance free from visible coloured conductor wires ?
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Are the switches and control buttons in good condition ?
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Is the appliance clean and free from dust build up ?
Results of Current PAT Test
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Did the item pass the electrical test carried out on this inspection?
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Photo of Tested Item & Date Stamp
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Inspectors Signature
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Client Signature