N Moit & Sons (NSW) Pty Ltd

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

All electrical testing and tagging is to be conducted by a qualified Moits employee unless noted to be done by others. All testing and tagging is to be carried out every 3 months unless requested more frequently by the Principal Contractor / Client. All tools tested AS3000 wiring rules and the code of practice - Managing Electrical Risks at the workplace.

Electrical Tagging Details

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

Test and Tag

• Item

• Manufacturer

• Equipment No.#

• Repairs Required

• Select Pass Fail

  • Pass
  • Fail

• Select date

  Date

• Licence Number

• Add signature

  Sign

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