Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Device details
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Manufacturer
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Model
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Serial number
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Drawing reference
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Name plate
Visual Inspection
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Clean & tidy
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Rodent activity
Functional Test
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IR Test Required
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Tester make/model
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Tester serial
Insulation Resistance
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IR test connection
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Voltage (kV)
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Duration (min)
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DAR
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PI
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IR (G ohm)
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Ratio test required
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Tester make/model
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Tester serial
Ratio test
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Injection
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Measurement