Title Page

  • Conducted on

  • Prepared by

  • Location
  • Client Name

  • Additional circuit test?
  • Time & Date of Testing.

  • Circuit Location.

  • Circuit Name.

  • Number of Phases

  • Phase sequence.

  • Voltage, Red to white.

  • Voltage, Red to Blue.

  • Voltage, White to Blue.

  • RCD Leak current rating.

  • Trip Curve.

  • Fault Current rating. in KA

  • Current rating in Amps.

  • Voltage, Phase to Neutral.

  • Earth Fault Loop Impedance. in Ohms.

  • Earth Prospective Fault Current in Amps.

  • RCD Trip time @ Rated mA. in milliseconds.

  • RCD Trip leakage level.

  • Polarity?

  • Picture of the installation.

  • Installation Pass?

  • Client Signature.

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.