Information

  • ID number

  • Item description

  • Make

  • Serial Number (0000 if none shown)

  • Class of appliance

  • Location of appliance and any particular requirements of the location (damp, vibration, high/ low temperatures, corrosion, etc)

  • Frequency of formal visual inspection

  • Frequency of combined inspection and testing

  • Voltage (V) required to operate

  • Equipment Rating Current (A) or Watts (W)

  • Fuse (A) that should be fitted

PAT test

  • PAT Process

  • Formal Visual Inspection
  • Pictures of appliance

  • Conducted on

  • Visual Check Result

  • Name/Signature of tester

  • PAT TEST
  • Equipment Construction Class & Construction Markings

Test Equipment

  • Make/Model/Serial No

  • Date Calibrated

Visual Inspection

  • Photograph of appliance

  • Conducted on

  • Visual Check Result

Testing

  • Earth Continuity (Oms)

  • Insulation (MegaOhms)

  • Earth Leak (mili Ohms)

  • Comments

  • Formal Testing Result

  • Tester picture

  • Name/Signature of tester

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.