Title Page

  • TEST TYPE

  • Conducted on

  • Prepared by

  • Location
  • TESTING COMPANY

  • REC NUMBER

  • Main Switchboard Number

  • Main Switchboard Photo

    TEST EQUIPMENT DETAILS
  • MAKE/MODEL

  • SERIAL NUMBER

  • CALIBRATION DATE

TEST RESULTS

    RECORDED RESULTS
  • Circuit ID

  • D/B it is Supplying

  • Over current protective device rating.

  • Visual Inspection correct?

  • Cable size (mm2)

  • Earth Continuity (Ω)

  • Insulation Resistance Results

  • E-R (MΩ)

  • E-N (MΩ)

  • N-R (MΩ)

  • E-R (MΩ)

  • E-W (MΩ)

  • E-B (MΩ)

  • E-N (MΩ)

  • N-R (MΩ)

  • N-W (MΩ)

  • N-B (MΩ)

  • R-W (MΩ)

  • R-B (MΩ)

  • W-B (MΩ)

  • Polarity Check

  • Fault Loop Impedance (Ω)

  • Correct Circuit Connection.

Completion

  • I certify that the electrical installation, to the extent that it is affected by the electrical work, has been inspected to ensure it is electrically safe and is in accordance with the requirements of AS/NZS 3000 and any other standard applying to the electrical installation under the Electrical Safety Act 1998 and the Electricity Safety

  • DO ALL PARTS OF THE INSTALLATION PASS?

  • LIST DETAILS OF FAILED ITEMS

ELECTRICIAN DETAILS

  • Tester Name

  • Licence number

  • Date

  • Signature

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