Information
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ID number
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Item description
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Make
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Serial Number (0000 if none shown)
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Class of appliance
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Location of appliance and any particular requirements of the location (damp, vibration, high/ low temperatures, corrosion, etc)
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Frequency of formal visual inspection
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Frequency of combined inspection and testing
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Voltage (V) required to operate
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Equipment Rating Current (A) or Watts (W)
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Fuse (A) that should be fitted
- 3 amp
- 5 amp
- 13 amp
- 32 amp
- N/A
- Other
- 10 amp
PAT test
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PAT Process
Formal Visual Inspection
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Pictures of appliance
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Conducted on
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Visual Check Result
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Name/Signature of tester
PAT TEST
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Equipment Construction Class & Construction Markings
Test Equipment
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Make/Model/Serial No
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Date Calibrated
Visual Inspection
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Photograph of appliance
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Conducted on
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Visual Check Result
Testing
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Earth Continuity (Oms)
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Insulation (MegaOhms)
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Earth Leak (mili Ohms)
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Comments
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Formal Testing Result
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Tester picture
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Name/Signature of tester