BFM - Test/Tag & RCD Servicing Check

• Inspection Report of Contractor Serviced Test / Tag and RCD Testing

• Street Location of Facility if applicable

• GIS Coordinates if applicable
  Address

• Assessment no.

• Parcel no.

• CRC inspection Conducted on

  Date

• Report Prepared by

BACKGROUND INFO.

• Contractor reps. Name

• Name, address and contact number of Contractor

1. Finance

• Has an invoice been received from the contractor for the inspection/testing?

  Yes

  No

• Identify invoice number here ..

• Has the invoice been paid?

  Yes

  No

2. Test and Tag - Record Keeping

• Team/Section/Location of test and tag items

• a). Have the reports for this site been saved in DM5?

  Yes

  No

• Dm5 reference number...

• b). Have there been any reported failures?

  Yes

  NO

  Not applicable

• Brief description of failure(s) NOTE: List if more than 1.

• c). Have ALL failed items been repaired/actioned?

  Yes

  NO

  Not Applicable

• Use the '...' button to add details of any non-conformance and diarise follow up action

2.1. Test and Tag - Random selection of tested items

• Physically Select 3 items at random

• a). Identify the 3 items chosen:

• b). Are the 3 random items/appliances/tools within current test date as per schedule?

  Yes

  NO

• Use the '...' button to add details of any non-conformance and diarise follow up action

• Take photos of any defects or non-conformance

  Media

• Test and Tag COMMENTS

3. RCD Testing

• Asset ID number (if known) and exact location of Item and within what building

• 3.1. Have the RCD test logs for this site been received by BFM?

  Yes

  No

  N/A

  TBC

• Use the '...' button to add details of any non-conformance and diarise follow up action

• 3.2. Have RCD test logs for this site been saved into DM5?

  Yes

  No

  N/A

  TBC

• Use the '...' button to add details of any non-conformance and diarise follow up action

• 3.3. Have any failed items been repaired/actioned?

  Yes

  No

  N/A

  TBC

• Take photos of any defects or non-conformance

  Media

• Use the '...' button to add details of any non-conformance and diarise follow up action

• 3.4. Are the RCD's in the switchboards clearly labelled with identification numbers?

  Yes

  NO

• Use the '...' button to add details of any non-conformance and diarise follow up action

• Take photos of any defects or non-conformance

  Media

• RCD COMMENTS

4. Sign Off by CRC Staff

• What was the score for this site ? (Use drop down scores)

  5

  less than 5

• As score was less than maximum, provide the date that ALL works should be completed by: dd/mm/yyyy

• Auditor's signature

  Sign