Title Page
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Conducted on
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Prepared by
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Job Number
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Client / Site
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Location
Test Equipment
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Test equipment type
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Manufacturer
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Model Number
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Serial Number
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Inspection tag photo
Equipment Testing
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Equipment Testing
Equipment
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Equipment type
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Manufacturer
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Model Number
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Serial Number
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Is the cable in good condition? (No inner insulation exposed, no cuts, no kinks etc.)
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What size is the cable?
- 1 mm2
- 1.5 mm2
- 2.5 mm2
- 4 mm2
- 6 mm2
- 10 mm2
- 16 mm2
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How many cores does the circuit have?
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Insulation test and earth continuity test is not applicable.
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Insulation resistance - L1 to Earth (MΩ)
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Insulation resistance - N to Earth (MΩ)
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Insulation resistance - L1 to Earth (MΩ)
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Insulation resistance - L2 to Earth (MΩ)
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Insulation resistance - L3 to Earth (MΩ)
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Insulation Resistance - L1 to Earth (MΩ)
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Insulation Resistance - L2 to Earth (MΩ)
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Insulation Resistance - L3 to Earth (MΩ)
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Insulation Resistance - N to Earth (MΩ)
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Earth continuity (Ω)
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Is an RCD fitted to the equipment?
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Did the RCD successfully operate?
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Did all equipment tests pass?
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Quick summary of any outstanding issues
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Attach photos of equipment
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Name and signature