Information

  • Serial Number

  • Prepared by

  • Model & Serial Number

  • Yearly Calibration Date

  • Conducted on

  • Engineer

  • Location
  • Who owns tester?

Insulation (M ohms)

  • Tested at 250v

  • 0.5 (M ohms)

  • 2.0 (M ohms)

  • 200 (M ohms)

  • Tested at 500v

  • 0.5 (M ohms)

  • 2.0 (M ohms)

  • 200 (M ohms)

  • Tested at 1000v

  • 0.5 (M ohms)

  • 2.0 (M ohms)

  • 200 (M ohms)

Continuity (ohms)

  • 0.5 ohms

  • 1.0 ohms

  • 2.0 ohms

Loop (Direct Socket)

  • FC2000

  • (+) 1

  • (+) 100

RCD 30mA

  • X 0.5

  • X 1

  • X 5

Comment

  • Additional pictures

  • Pass or Fail

  • Engineer

  • Supervisor

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.