Platinum Electrical Test Record

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Description

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Circuit Information

• Circuit No:

• Neutral No:

• Protection Type

  Select Light Power Air Conditioning Cooker 3 Phase Circuit Other

  • Light
  • Power
  • Air Conditioning
  • Cooker
  • 3 Phase Circuit
  • Other

• Protection Size

  Select 10 Amp 16 Amp 20 Amp 25 Amp 32 Amp 40 Amp 50 Amp 63 Amp 80 Amp 100 Amp

  • 10 Amp
  • 16 Amp
  • 20 Amp
  • 25 Amp
  • 32 Amp
  • 40 Amp
  • 50 Amp
  • 63 Amp
  • 80 Amp
  • 100 Amp

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Cable Size

  Select 1.5mm 2.5mm 4.0mm 6.0mm 10mm 16mm 25mm 35mm 50mm 70mm 95mm 120mm

  • 1.5mm
  • 2.5mm
  • 4.0mm
  • 6.0mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • 70mm
  • 95mm
  • 120mm

Continuity Test - OHMS

Insulation Resistance MEGOHM

Fault LoopImpedance Test - OHMS

• Polarity Test

  Yes

  No

  N/A

• Operational Test

  Yes

  No

  N/A

Electrical Worker In Charge

• Tested By:

  Select Scott Toohey Chris Ainsworth Randall Kearton Ian Nan Jake Oldham Nicholas Bigwood

  • Scott Toohey
  • Chris Ainsworth
  • Randall Kearton
  • Ian Nan
  • Jake Oldham
  • Nicholas Bigwood

Licence No:

• Signature

  Sign