Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Technician

  • Site Location

  • Distribution Board Designation

  • Engage pump techs to run pumps at Average Flow Rates (75%)

  • Record Current on A phase

  • Record Current on B phase

  • Record Current on C phase

  • Engage pump techs to run pumps at Max Flow Rates (100%)

  • Record Current on A phase

  • Record Current on B phase

  • Record Current on C phase

  • Engage pump techs to run pumps at Mid Flow Rates (50%)

  • Record Current on A phase

  • Record Current on B phase

  • Record Current on C phase

  • Record Power Factor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.