CBD Electrical Services Circuit Test Record

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select Troy Anstis Nathan Burridge Brad Foster Sam Higley Mike Haverland

  • Troy Anstis
  • Nathan Burridge
  • Brad Foster
  • Sam Higley
  • Mike Haverland

Job Number

Date

• Select date

  Date

Customer Name

Site Address

Work Carried Out

Circuit or Equipment Type

• Visual Inspection Complete

  YES

  NO

• Circuit Number

Protection Size & Type

• Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp MCB RCD

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • MCB
  • RCD

• Neutral Number

• Phase Type

  1

  2

  3

• Cable Size

  Select 1 1.5 2.5 4 6 10 16 25 35 50 70 95 120 240

  • 1
  • 1.5
  • 2.5
  • 4
  • 6
  • 10
  • 16
  • 25
  • 35
  • 50
  • 70
  • 95
  • 120
  • 240

Continuity Test : Ohms

• < 0.5Ohms

  YES

  NO

Insulation Resistance : Megohms

• > 1M Ohm

  YES

  NO

• Polarity Test : Equipment or Circuit<br>

  Yes

  No

  N/A

Fault Loop Impedance Test : Ohms

• Operational Test

  Yes

  No

  N/A

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.

• Add signature

  Sign

• Licence Number: