Title Page
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Conducted on
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Prepared by
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Location
General
General
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Name of Sub Contractor
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Are all appliances in the area tagged?
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Photo of incorrect tag
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Evidence of testing compliance.
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Are any domestic leads or adapters being used?
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Photo of item
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Equipment number
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Are there any obvious defects present?
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Photos of defects.
Completion
Completion
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Do all items pass
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List defects
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Recommendations
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Date of inspection
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Position
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Person Completing Inspection