Title Page

  • Conducted on

  • Area inspected

  • Location
  • Project number

Item inspected

Motor 1 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 2 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 3 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 4 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 5 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 6 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 7 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 8 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 9 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

  • Motor Description

Motor 10 description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 11 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 12 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 13 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 14 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 15 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 16 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 17 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 18 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 19 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 20 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 21 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 22 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 23 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 24 description

  • Motor description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have a extension arm for Handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • Add more motors

Motor 25 description

  • Motor Description

  • Add pictures

  • Motor size

  • Isolator size

  • Is the isolator adiquite for the motor

  • Does it have an extension arm for the handel

  • Is the Handel in good working order

  • Is the isolator a 3 or a 6 pole

  • Overall panel condition

  • For more motors please open a new audit.

Sign off

  • Inspector name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.