Title Page

  • PAT Testing Record

  • Conducted on

  • Prepared by

  • Engineer

  • Tech Number

  • Pay roll Number

PAT TESTING RECORD

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

  • Tick for next item

  • Date

  • Date

  • Identity

  • Description

  • Location

  • Visual

CLASS I

Continuity

  • Low Current

  • High Current

CLASS I&II

Insulation

  • 250V

  • 500V

Load/Earth Leakage

  • Load

  • Leakage

  • Subst. Leakage

Ext Leads

  • Pol.

  • Overall Pass or Fail

SIGN OFF.

  • I can confirm that at the time of testing all appliances with green pass labels are safe RED LABEL items should be discarded & replaced or repaired and then retested to insure safety .

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.