PAT TEST

• TITLE

• Address
  Address

• Date of test

  Date

• Date of next test.

  Date

• Prepared by

Test Details

Appliance.

• Description.

• Add media

  Media

• Location

  Select kitchen lounge bedroom hall cellar Other

  • kitchen
  • lounge
  • bedroom
  • hall
  • cellar
  • Other

• Visual inspection.

• Leads and plugs appear in good order.

• Red label applied. DO NOT USE inform your manager appliance needs replacing

• Electrical Class.

  Class 1

  Class II

• Fuse Rating

  3amp

  5amp

  13amp

• Earth Bond

  Safe

  Un-Safe

  N/A class II appliance

• Insulation resistance test

  Pass

  Fail

• Comments

• undefined

• No Comments.

Sign off.

• Overall condition of items tested

  satisfactory

  unsatisfactory

• I can confirm that at the time of testing all appliances with green pass labels are safe RED LABEL items should be discarded & replaced or repaired and then retested to insure safety .

  Sign