Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Number

Date

  • Select date

Customer Name

Site Address

Work Carried Out

Circuit or Equipment Type

  • Visual Inspection Complete

  • Circuit Number

Protection Size & Type

  • Neutral Number

  • Phase Type

  • Cable Size

Continuity Test : Ohms

  • < 0.5Ohms

Insulation Resistance : Megohms

  • > 1M Ohm

  • Polarity Test : Equipment or Circuit<br>

Fault Loop Impedance Test : Ohms

  • Operational Test

Circuit or Equipment Type

  • Visual Inspection Complete

  • Circuit Number

Protection Size & Type

  • Neutral Number

  • Phase Type

  • Cable Size

Continuity Test: Ohms

  • < 0.5Ohms

Insulation Resistance: Megohms

  • > 1M Ohm

  • Polarity Test Equipment or Circuit

Fault Loop Impedance: Ohms

  • Operational Test

Circuit or Equipment

  • Visual Inspection Complete

  • Circuit Number

Protection Size & Type

  • Neutral Number

  • Phase Type

  • Cable Size

Continuity Test - Ohms

  • < 0.5Ohms

Insulation Resistance- Megohms

  • > 1M Ohm

  • Polarity Test

Fault Loop Impedance Test - Ohms

  • Operational Test

Circuit or Equipment

  • Visual Inspection Complete

  • Circuit Number

Protection Size & Type

  • Neutral Number

  • Phase Type

  • Cable Size

Continuity Test - Ohms

  • < 0.5Ohms

Insulation Resistance- Ohms

  • > 1M Ohm

  • Polarity Test Equipment or Circuit

Fault Loop Impedance Test- Ohms

  • Operational Test

Circuit or Equipment

  • Visual Inspection Complete

  • Circuit Number

Protection Size & Type

  • Neutral Number

  • Phase Type

  • Cable Size

Continuity Test- Ohms

  • <0.5 Ohm

Insulation Resistance Test- Megohms

  • > 1M Ohm

  • Polarity Test Equipment or Circuit

Fault Loop Impedance- Ohms

  • Operational Test

  • Tested By

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

  • Licence Number:

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