Title Page

  • Title of Report

PM EL03 - RCDs/RCBOs

PM EL03 - RCDs/RCBOs

Location

  • Date

  • Facility?

  • QCH Facility

  • Scentre Westfield - Facility?

  • Ventia State School - Facility?

  • Building Name and Number or Room Name?

  • Name of tradesperson

  • Job Number

  • Discipline?

Asset

    Asset Particulars
  • Asset ID Number?

  • Asset Description?

  • Manufacturer? (Enter CUSTOM for customised manufacture)

  • Model?

  • Year asset/equipment was installed (approximate)?

  • Residual Current Device Testing
  • RCD/RCBO Circuit Description

  • 6M & 12M, Push Button Test

  • Type II RCD (>30mA) Trip Time in ms for 0° (Record test result in Note section)

  • Type II RCD (>30mA) Trip Time in ms for 180° (Record test result in Note section)

  • Overall Condition Rating?

Repairs

    Repairs and Repair Codes
  • Select Repair Code Where Applicable Needed for Repair/Replacement of Asset

  • Description of the defect with equipment/asset?

  • Work (labour and materials) needed to rectify defect?

  • Add the quantity of repair code(s) required

  • Rectification due by (year)?

  • Take additional photos as needed (Include photos of SWB nameplates where present)

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