Guardian Safety Solutions - ELECTRICAL TEST and TAG Completion REPORT

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Name

TYPE OF TESTING CONDUCTED

• Visual

  Yes

  No

  N/A

• Tested

  Yes

  No

  N/A

• Have items been unplugged whilst onsite ?

  Yes

  No

  N/A

• Have all items been reinstated after testing?

  Yes

  No

  N/A

• Were any items failed during testing?

  Yes

  No

  N/A

• Have these items been tagged out of service or removed from site?

  Yes

  No

  N/A

• Do we need to notify the client of any issues whilst onsite?

  Yes

  No

  N/A

TEST RESULTS?

• Were all items Passed

  Yes

  No

  N/A

• Was the RA completed on firemate?

  Yes

  No

  N/A

DATE OF NEXT TEST.

• Select date

  Date

TESTERS NAME and LICENCE NUMBER.

• Add signature

  Sign