Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Electrical Licence No
Installation Information
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Installation type
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Circuit ID
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Equipment
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Cable Size
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Cable type
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Cable Length
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Job Description
Test Results
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Visual Inspection
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Polarity Test
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Test for Correct Circuit Connections
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Phases
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Insulation Resistance Voltage
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Insulation Resistance Red phase to earth (MegOhm)
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Insulation Resistance White phase to earth (MegOhm)
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Insulation Resistance Blue phase to earth (MegOhm)
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Insulation Resistance Red phase to White Phase(MegOhm)
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Insulation Resistance Red phase to Blue Phase(MegOhm)
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Insulation Resistance White phase to Blue Phase(MegOhm)
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Voltage Red Phase to Neutral (Volt)
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Voltage White Phase to Neutral (Volt)
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Voltage Blue Phase to Neutral (Volt)
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Insulation resistance test Voltage
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Insulation resistance Active to Earth (MegOhms)
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Insulation resistance Active to Neutral (MegOhms)
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Voltage Active to Neutral
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Is functional Operation Correct
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Earth Resistance value (Ohms)
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Resistance of Equipotential Bonding Conductor (Ohms)
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Main Earth Conductor Size
Sub-circuit Operational tests
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Circuit No
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CB Rating (Amps)
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Earth Fault Loop Impedance (Ohms)
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Is circuit RCD protected?
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RCD Trip Time 0 deg in mS
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RCD Trip Time 180 deg in mS
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Push Button test
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Result