Title Page
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Conducted on
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Prepared by
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Location
- Asset
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Description/ serial number
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Item
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Cable & plug visual /pass
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Casing visual inspection /pass
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Voltage
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Equipment type
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Insulation test pass
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Earth Cont pass
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Leakage pass
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Wiring
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Result photo
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Result
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Action required
Completion
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inspected By
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Confirmed by