Title Page

  • PAT Test completed by

  • Inspection reference

  • Engineer Name

  • Vehicle Registration

  • Inspection Date

Items

    Item
  • Make

  • Model

  • Serial Number

  • Class

  • Fuse Rating

  • Insulation Resistance

  • Continuity

  • Earth Loop

  • Polarity

  • Cord Condition

  • Item Safe to Use

  • Operative signature

  • PAT Tester signature

  • Next Inspection Date

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.