Title Page

  • Site

  • Reference Number

  • Location

  • Installed By

  • EW#

  • Asset ID

Install Details

  • Asset ID

  • Installation Area/ Level

  • Installation Fed From

  • Circuit Breaker Settings

  • Cable Size

  • Cable Length

  • Calculated Maximum Demand

  • Calculated Volt Drop

  • Installation Details (e.g Length, size, route & settings)

Test Results

  • Visual Inspection (Photo Inside & Out)

  • Is Installation Protected By An Earth Leakage Device

  • Earth Fault Loop Imedance Results

  • Supply Cable Earth Leakage Settings

  • Supply Cable Earth Leakage Push Button Test

  • Earth Continuity

  • Earth Leakage Relay 1

  • Push Button Test

  • Injection Test Results

  • Earth Continuity Relay 1

  • Earth Leakage Relay 2

  • Push Button Test

  • Injection Test Results

  • Earth Continuity Relay 2

  • Control RCD's Push Button Test

  • Number Of RCD's

Insulation Resistance

  • Supply Cable Insulation Resistance

  • Red - Earth

  • White - Earth

  • Blue - Earth

  • Red - White

  • Red - Blue

  • White - Blue

  • Stage 1 Secondary Fan Insulation Resistance

  • Phase - Earth

  • Stage 2 Secondary Fan Insulation Resistance

  • Phase - Earth

  • Phase Rotation

  • Red - Earth Voltage

  • White - Earth Voltage

  • Blue - Earth Voltage

Sign Off

  • Panel Left In Serviceable Condition

  • Is Labelling Complete

  • Are Schematics In Panel

  • Starter Manufactures Details For Drawings

  • Single Line Drawings Updated

  • Box Location Sheet Updated

  • Citect Updated (SVFS Only)

  • Electrical Logbook Completed

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.