Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Electrical Licence No

Installation Information

  • Installation type

  • Circuit ID

  • Equipment

  • Cable Size

  • Cable type

  • Cable Length

  • Job Description

  • Test Results
  • Visual Inspection

  • Polarity Test

  • Test for Correct Circuit Connections

  • Phases

  • Insulation Resistance Voltage

  • Insulation Resistance Red phase to earth (MegOhm)

  • Insulation Resistance White phase to earth (MegOhm)

  • Insulation Resistance Blue phase to earth (MegOhm)

  • Insulation Resistance Red phase to White Phase(MegOhm)

  • Insulation Resistance Red phase to Blue Phase(MegOhm)

  • Insulation Resistance White phase to Blue Phase(MegOhm)

  • Voltage Red Phase to Neutral (Volt)

  • Voltage White Phase to Neutral (Volt)

  • Voltage Blue Phase to Neutral (Volt)

  • Insulation resistance test Voltage

  • Insulation resistance Active to Earth (MegOhms)

  • Insulation resistance Active to Neutral (MegOhms)

  • Voltage Active to Neutral

  • Is functional Operation Correct

  • Earth Resistance value (Ohms)

  • Resistance of Equipotential Bonding Conductor (Ohms)

  • Main Earth Conductor Size

  • Sub-circuit Operational tests
  • Circuit No

  • CB Rating (Amps)

  • Earth Fault Loop Impedance (Ohms)

  • Is circuit RCD protected?

  • RCD Trip Time 0 deg in mS

  • RCD Trip Time 180 deg in mS

  • Push Button test

  • Result

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