Platinum Electricians Copy

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

Circuit

• Circuit or Equipment

• Visual Inspection Complete

• Circuit No.

• Protection Size

  Select 10A 16A 20A 25A 32A 40A 50A 63A 100A Other

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A
  • 50A
  • 63A
  • 100A
  • Other

• Protection Type

  Select Circuit Breaker RCBO Fuse

  • Circuit Breaker
  • RCBO
  • Fuse

• Neutral No.

• Cable Size

  Select 1.5mm 2.5mm 4mm 6mm 10mm 16mm 25mm 35mm Other

  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • Other

• Phase

  Select Red White Blue

  • Red
  • White
  • Blue

• Test Results

• Insulation Resistance MEGOHM

• Fault Loop Impedance Test-OHMS

• Polarity Test of Equipment

• Operational Test

• Date

  Date

• Signature

  Sign