Title Page

  • Conducted on

  • Prepared by

  • Location
    Asset
  • Description/ serial number

  • Item

  • Cable & plug visual /pass

  • Casing visual inspection /pass

  • Voltage

  • Equipment type

  • Insulation test pass

  • Earth Cont pass

  • Leakage pass

  • Wiring

  • Result photo

  • Result

  • Action required

Completion

  • inspected By

  • Confirmed by

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