Title Page

  • Conducted on

  • Job number

  • Site

  • Prepared by

  • Asset number

  • Equipment

  • Make

  • Model

  • Serial number

  • Location of Equipment

Report

  • Photograph of Unit

  • Mains Cable, Plug & Socket Condition

  • Lamps and Covers

  • Control Switches / Contactors

  • Contactors present and operational Control Knobs

  • Thermostat and Calibration

  • Motor operational

  • Elements present and operational

  • Internal wiring condition

  • Water Tank / Steam Generator (scale)

  • Filter

  • Earth Bond

  • Incoming Supply Voltage

  • Sign Off

  • Notes

  • Parts Required

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.