Simon Rowlands

PAT Testing

PAT testing Record sheet

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Information

Document number
Name of Tester
Tested on behalf of? (company/individual)
Conducted on
location

Test Equipment

Make/Model/Serial No
- Seaward/prime test 100/51E 0109
Date Calibrated

PAT test

Item description
Describe
Make
Make
ID number
Photograph of appliance
Voltage
Class of appliance
Fuse
- 3 amp
- 5 amp
- 13 amp
- 32 amp
- N/A
- Other

Test result

Visual Check
Continuity/earth leakage/insulation test
Next PAT test date
Name/Signature of tester

Simon Rowlands

PAT Testing

PAT testing Record sheet

Use this Template

Print as PDF

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