Inspection Report ES13 SWITCHBOARD CLEAN & INSPECT - 3 Monthly

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• INSPECTION REPORT FOR SWITCHBOARDS
  CVSG ASSET SERVICES PTY LTD
  ABN 62 128 821 698
  
  Conducted in accordance with:
  AS/NZS 3003:2011 ELECTRICAL INSTALLATIONS - PATIENT AREAS

INSPECTION DETAILS

• Select date

  Date

• NAME OF PERSON UNDERTAKING TESTS

• NAME OF FACILITY?

• Add location
  Address

• LOCATION OF TEST - ROOM NO.?

• SWITCHBOARD NUMBER

• SWITCHBOARD TYPE

• Type of Inspection?

  Three-monthly

  Yearly

• ASSET NO. BAR CODE AVAILABLE?

  YES

  NO

INSPECTION

• All electrical equipment & fittings in good condition?

  PASS

  FAIL

  N/A

• Wiring and switches - Check general condition of conduits, connectors, switches and wiring especially in damp and outdoor areas.

• Operation - Check to ensure all items of equipment are capable of satisfactory operation.

INSPECTION COMPLETE

• INSTALLATION COMPLIANT WITH AS 2467?

  YES

  NO

• Add signature

  Sign