Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Test Date

  • Operative name

  • Pay roll reference number

  • Instrument function

  • Acquisition date

  • Date of last formal calibration

  • Make

  • Model

  • Serial number

  • Type of calibration

  • Calibration certificate received

  • Check box details

Calibration Record

Battery voltage

  • Volts

Continuity

  • I TEST

  • V TEST

  • 0.5Ω

  • 5Ω

Insulation

  • 250V 0.25MΩ

  • V

  • I

  • 500V 0.5MΩ

  • V

  • I

  • 1kV 1MΩ

  • V

  • I

  • 9MΩ

  • 90MΩ

Loop

  • Loop (Ω)

  • Loop + 10Ω

  • Loop + 180Ω

  • PFC (kA)

RCD 10mA

  • ½ I 5mA (ms) 0°

  • I 10mA (ms)

  • I 10mA (ms) 180°

  • 5 I 50mA (ms) 0°

  • 5 I 50mA (ms)180°

RCD 30mA

  • ½ I 15mA (ms) 0°

  • I 30mA (ms) 0°

  • I 30mA (ms) 180°

  • 5 I 150mA (ms) 0°

  • 5 I 150mA (ms) 180°

RCD 100mA

  • ½ I 100mA (ms) 0°

  • I 100mA (ms) 0°

  • I 100mA (ms) 180°

  • 5 I 500mA (ms) 0°

  • 5 I 500mA (ms) 180°

  • Date of next calibration

  • Operative signature

  • Electrical Qualifying Supervisor signature

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