Hitech Electrical Automation Electrical Test Record

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Number

• Job Number

Work Activity

• Work being carried out

Test Results

• Circuit or Equipment

• Visual Inspection

  Pass

  Fail

• Circuit No

• Protection Size and Type

• Neutral No

• Phase

• Cable Size

• Earth Continuity Test (ohms)

• Insulation Resistance (MEGohm)

• Polarity Test Equipment or Circuit

  Pass

  Fail

• Fault Loop Impedance Test (ohms)

• Operational Test

  Pass

  Fail

Any Sketches, Pictures or Notes

• Sketches for Report

  Drawing

• Pictures for Report

  Media

• Notes

Sign Off

• Tested By

  Sign

• Electrical Worker in Charge

  Sign