Title Page

  • Location
  • Conducted on

  • Prepared by

  • Site name and city

  • Job number (if applicable)

AYJAY - WIF / WIC

WIF / WIC

  • Location of WIC / WIF (or potential location)

  • Photo of WIC / WIF (Area photo taken from afar)

  • Clear picture inside of cold-room (If applicable)

  • Condition and functionality of accessories within cold-room inc. Lighting

  • Picture on top of cold-room (If applicable)

  • Picture above ceiling (if applicable)

WIF / WIC Panel (If applicable)

  • Picture of panel (or proposed location)

  • Clear picture inside panel inc. Protective devices

  • Condition of panel

  • Pictures of any defects to the panel ie. water ingress, or damage

  • Condition of Final circuits from panel

  • Zs at Panel

Supply to Panel

  • Size and type of cable

  • Picture of supply cable to Panel (If applicable)

  • Condition of Supply cable and cable entry / gland (Visual check) (If applicable)

  • Pictures of cable run / proposed run

  • Length of run from DB supplying WIC / WIF panel

DB Supplying panel

  • Location of supply DB

  • Picture of DB Location (area photo taken from afar)

  • DB Type and manufacturer

  • Clear Picture of DB inc. protective device's

  • Protective device supplying unit (Type and size)

  • Number of spare ways / unused protective devices

  • Zs at DB

Mains Details

  • Location of incoming supply

  • Picture of incoming supply location (taken from afar)

  • Rating and type of mains Isolator

  • Picture of mains isolator

  • Number of phases

  • Rating and Type of DNO Fuses (Visual if able)

  • Picture of DNO fuses

  • Type of Earthing

  • Date of Last EICR

Additional Notes

  • Any important information

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.