Information

  • Client / Site

  • Location
  • Select date

  • Report

EQUIPMENT REPORT

    Equipment No

START REPORT

  • EQUIPMENT No

  • Location or Equipment Identity / SUB

  • Switchgear Manufacturer

  • Switchgear Maintained By - Who? - When Due / Done

  • Surge Protection Fitted - Yes / No & Type

  • Type of Equipment

  • Manufacturer & Serial Number

  • Rating

  • Stages

  • Controller

  • Fuses

  • Contactor type & voltage

  • Capacitor type & voltage

  • Inductors

  • Ventilation Type

  • Ventilation Notes

  • Switch Rating (connection)

  • Type of Connection

  • Main Switch Rating

  • Main Incomer Load in Amps

  • Spare Switches / Ways - Detail

  • Voltage Measured

  • THD-V Measured / Metering

  • Power Factor

  • Stages in Circuit at PF above

  • Inspection

  • COMMENCE INSPECTION

  • Capacitor Test Results

  • COMMENCE CAPACITOR OUTPUT TEST

  • Capacitor Stage 1 micro farad

  • Capacitor Stage 2 micro farad

  • Capacitor Stage 3 micro farad

  • Capacitor Stage 4 micro farad

  • Capacitor Stage 5 micro farad

  • Capacitor Stage 6 micro farad

  • Capacitor Stage 7 micro farad

  • Capacitor Stage 8 micro farad

  • Capacitor Stage 9 micro farad

  • Capacitor Stage 10 micro farad

  • Capacitor Stage 11 micro farad

  • Capacitor Stage 12 micro farad

  • Insulation Levels

  • Capacitor Insulation Levels

  • Control Circuit Fully Functional

  • Ventilation Filters OK

  • Maintenance Counter Reset

  • Service Date Label Changed

  • Engineers Report

  • COMMENCE ENGINEERS REPORT

  • Engineers Report

  • Nature of Fault

  • Recommendations

  • Additional Notes and Observations

  • Add media

  • Add drawing

  • Component Parts Used During Visit

  • COMPONENT PARTS USED DURING VISIT

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

  • Part

  • Qty

Completion

  • Further Action Required

  • Information Brochure Left With Client

  • Other Sites Responsible For

  • Sites

  • Engineer - Name & Signature

  • Works carried out to clients satisfaction - Client

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.