Title Page

  • Document No.

  • Client Name & Site Location

  • Description of Item Being Inspected

  • Conducted on

  • Prepared by

ITEM IDENTIFICATION

  • Has the item had the annual portable appliance testing carried out (PAT) and is this is date?

  • Does the item have an Alliance Cleaning Asset Number- please document in notes section?

  • Does the item have an Manufacturers Serial Number- please document in notes section?

GENERAL CONDITION

  • Is the item free from any missing parts or loose parts ?

  • Are all carrying handles and handgrips in place securely ?

PLUG (External) NEVER OPEN THE PLUG TO INSPECT

  • Is the casing of the plug free from any cracks or damage?

  • Is the plug casing in good condition ?

  • Is the plug free from scorch marks ?

  • Is the cable fitted firm into the plug ?

  • Are all of the coloured conductor wires free from exposure when entering the plug ?

CABLE

  • Is the cable free from damage (no cuts, cracks, bare conductor wires, heat damage) ?

  • Is the cable free from other joints (there should only be plug and cable) ?

APPLIANCE

  • Is the structural condition of the equipment safe with no external damage ?

  • Is the piece of equipment free from signs of over heating ?

  • Is the cable running into the structure of the appliance firm and not loose ?

  • Is the cable running into the appliance free from visible coloured conductor wires ?

  • Are the switches and control buttons in good condition ?

  • Is the appliance clean and free from dust build up ?

Results of Current PAT Test

  • Did the item pass the electrical test carried out on this inspection?

  • Photo of Tested Item & Date Stamp

  • Inspectors Signature

  • Client Signature

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