Line Isolation Overload Monitor Loadbank Test

• Audit Title

• Client/ Site

• Select date

  Date

• Asset Number

• Room number

• Prepared By

LIOM inspection

• Fittings and fixtures in good condition

  Yes

  No

  N/A

• Is the overload monitor seperate from the Line Isolation Monitor?

  Yes

  No

  N/A

• Labelling in accordance with AS/NZS 3003<br>(A) associated circuit breaker and its distribution panel<br>(B) unique Identifier e.g. "LIM X"<br>(C) Over current Alarm Set Point

  Yes

  No

  N/A

• Push button PHC test

  Pass

  Fail

• Enter PHC results here

Isolation Transformer inspection

• Fittings and fixtures in good condition?

  Pass

  Fail

• Isolation labelling<br>(A) Circuit breaker and Distribution panel<br>(B) Unique identifier e.g. "LIM X"<br>(C) Manufacturers label intact

  Pass

  Fail

• Sufficient ventilation

  Yes

  No

  N/A

• Isolation transformer is clean and free from dust build up?

  Yes

  No

  N/A

• Circuit breaker rating and type correct for transformer size?<br>Refer to manufacturers specifications

  Pass

  Fail

Load Bank test

• LIOM overload alarm activates when rated load is applied

  Yes

  No

  N/A

• LIOM overload alarm activates with in 3-5 seconds of the load being applied

  Yes

  No

  N/A

• Enter load bank results here LIM number / Overload current / Alarm time

• Is the installation compliant with AS/NZS 3003:2011 & AS/NZS 4510:1990?

  YES

  NO

• Add signature

  Sign