Title Page
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PAT Test completed by
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Inspection reference
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Engineer Name
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Vehicle Registration
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Inspection Date
Items
- Item
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Make
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Model
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Serial Number
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Class
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Fuse Rating
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Insulation Resistance
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Continuity
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Earth Loop
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Polarity
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Cord Condition
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Item Safe to Use
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Operative signature
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PAT Tester signature
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Next Inspection Date