New PAT Test Form

• Audit Title

• Client / Site

• Date of test

  Date

• Date of next test.

  Date

• Prepared by

Details of Test Meter

• Manufacturer, model, serial number.

• Calibrated

• Select date

  Date

Test Details

Appliance.

• Description.

• Add media

  Media

• Location.

• Visual inspection.

• Leads and plugs in good order.

• Red label applied.

• Electrical Class.

  Class 1

  Class II

• Fuse Rating

  3amp

  5amp

  13amp

• Earth Bond

  Safe

  Un-Safe

• Load/leak test

• kVA

• mA

• Unsafe Red Label Applied.

• Comments

• No Comments.

• Pass / Fail

  Pass

  Fail

Sign off.

• I can confirm that at the time of testing all appliances tested above are safe.

  Sign