Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Date
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Operative name
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Pay roll reference number
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Instrument function
- Multi function meter
- voltage indicaton
- Insulation resistance
- Continuity
- Earth fault loop impedance
- Residual current devices
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Acquisition date
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Date of last formal calibration
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Make
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Model
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Serial number
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Type of calibration
- Formal Calibration
- Check box
- Repair
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Calibration certificate received
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Check box details
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Pass/fail
- Pass
- Fail
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Action taken
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Date of next calibration
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Operative signature
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Electrical Qualifying Supervisor signature
