Title Page

Panelboard Inspection Report

  • Client:

  • Location:

  • Report Date:

  • Conducted By:

  • Panel Designation:

  • Panel Location:

  • EE Project:

  • System:

  • Condition:

Panelboard Inspection Report

EQUIP RATINGS

  • Manufacturer

  • Model/Catalog Number

  • Voltage

  • Amps

  • MLO/MCB

  • Phase/Wire

  • AIC

  • BUS

  • Enclosure Type

  • # of branch circuits utilized

  • # of open spaces remaining in panel

  • Breaker Type

  • undefined

FED FROM

  • Fed From

  • #/PH

  • Size

  • MLO/MCB

  • #/Conduits

  • Conduit Size

  • Wire Size

  • Wire Type

  • Neutral Size

  • Neutral Qty

  • Ground

  • Iso Ground

ROTATION

  • A-B-C

MEGOHMS

  • A-G

  • B-G

  • C-G

  • N-G

  • A-N

  • B-N

  • C-N

  • A-B

  • A-C

  • B-C

  • Conducted By:

  • Date:

CHECKED

  • Nameplates / labels properly attached

  • Panel schedule installed

  • Nameplate data matches specs

  • Proper mounting / anchorage

  • Interior cleaned and vacuumed

  • Grounding / bonding inspected

  • Circuits marked or tagged

  • Conductors torqued

  • Bus splices torqued and checked

  • All cover / dead front screws in place

  • Door hardware and operation checked

  • All unused openings filled

  • Encore's Pre-Energization form needs to be fully completed before proceeding to voltage measurements.

VOLTAGE

  • A-G

  • B-G

  • C-G

  • N-G

  • A-N

  • B-N

  • C-N

  • A-B

  • A-C

  • B-C

  • Conducted By:

  • Date:

COMMISSION

  • Factory Settings

  • 3rd Party Testing

  • Energized

  • Acceptance

GENERAL COMMENTS

  • Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.