IRC - Service Report (Corp Prop)

• Construction site RCD Testing Report

• Service Report

• Document No.

• Date Testing Conducted

  Date

• Name of Person performing test

  Select SHANE DANDO

  • SHANE DANDO

• Site / Building Name
  Address

Location of RCD

• Enter location of RCD's

  Select MALE TOILET FEMALE TOILET CONTRACTORS SHED FIRST AID LUNCH ROOM No: 1 LUNCH ROOM No: 2 AGFAB OFFICE BARWON WATER OFFICE CONTAINER No: 1 CONTAINER No: 2 PORTABLE RCD BOX GENERATOR SITE LAY DOWN DISTRIBUTION SWITCHBOARD

  • MALE TOILET
  • FEMALE TOILET
  • CONTRACTORS SHED
  • FIRST AID
  • LUNCH ROOM No: 1
  • LUNCH ROOM No: 2
  • AGFAB OFFICE
  • BARWON WATER OFFICE
  • CONTAINER No: 1
  • CONTAINER No: 2
  • PORTABLE RCD BOX
  • GENERATOR
  • SITE LAY DOWN DISTRIBUTION SWITCHBOARD

• Enter Tag No.

Safety Switch Operation Trip Times

• Push Button Test to be Conducted Every Month Trip Time Test to be Conducted 6 Months

• NUMBER OF RCD,s

• Push Button Test Only

  Safe

  At Risk

  N/A

• Tripped at 30mA or less X 1

  Yes

  No

  N/A

• Tripped at 30mA or less X 5

  Yes

  No

  N/A

• Tripped at 30mA or less X 1/2

  Yes

  No

  N/A

Notes

RCD Fit For Service

• Fit For Service

  Safe

  At Risk

  N/A

Name and signature of person performing test

• Add signature

  Sign

• SHANE DANDO