Title Page

  • Tested By

  • Document No

  • Client

  • Project No

  • Drawing No

  • Assembled By

  • Wired By

  • Panel Type

TESTING EQUIPMENT

  • ADD TESTING EQUIPMENT

  • TEST EQUIPMENT
  • ID No

  • Name (If Known)

  • Date Inspection Started

  • General Inspection

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • General Inspection After Rework

  • Security of Assembly

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Security of Assembly After Rework

  • Door Catches / Locks / Isolator Handles / Push Button Mechanisms

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Door Catches / Locks / Isolator Handles / Push Button Mechanisms After Rework

  • Labels

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Labels After Rework

  • Overloads / Meters / CTs

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Overloads / Meters / CTs After Rework

  • Capacitors

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Capacitors After Rework

  • Transformers

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Transformers After Rework

  • Fuses

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Fuses After Rework

  • Voltages

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Voltages After Rework

  • Appliance Inlet

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Appliance Inlet After Rework

  • Cables and Terminals

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Cables and Terminals After Rework

  • Earthing

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Earthing After Rework

  • Insulation Test

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Insulation Test After Rework

  • Flash Test

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Flash Test After Rework

  • Supply Voltage

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Supply Voltage After Rework

  • Voltmeter

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Voltmeter After Rework

  • Phase-Fail Relay

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Phase-Fail Relay After Rework

  • RCD

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • RCD After Rework

  • On / Off Switches or Isolators

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • On / Off Switches or Isolators After Rework

  • MCB / Distribution Board

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • MCB / Distribution Board After Rework

  • Power On Lamp(s)

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Power On Lamp(s) After Rework

  • Logic Controller / Programmer

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Logic Controller / Programmer After Rework

  • Control Voltage

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Control Voltage After Rework

  • Anti Condensation Heaters / Thermostats

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Anti Condensation Heaters / Thermostats After Rework

  • Socket Outlets

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Socket Outlets After Rework

  • Push Buttons

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Push Buttons After Rework

  • Contactor Sequence

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Contactor Sequence After Rework

  • VSD / Soft Starting

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • VSD / Soft Starting After Rework

  • Hours Run Meters

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Hours Run Meters After Rework

  • Ammeters

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Ammeters After Rework

  • Running Lamps

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Running Lamps After Rework

  • Motor Output Terminals

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Motor Output Terminals After Rework

  • Overloads

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Overloads After Rework

  • Motor Thermal Protection

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Motor Thermal Protection After Rework

  • Over Current Protection

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Over Current Protection After Rework

  • Under Current Protection

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Under Current Protection After Rework

  • Duty Select Switch

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Duty Select Switch After Rework

  • Timers

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Timers After Rework

  • Indication Lamps

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Indication Lamps After Rework

  • Stepping Relay

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • Stepping Relay After Rework

  • Auto Level Control Unit

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • Auto Level Control Unit After Rework

  • VSD / Soft Start Alarm Simulation

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • VSD / Soft Start Alarm Simulation After Rework

  • Hand / Off / Auto Switches

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • Hand / Off / Auto Switches After Rework

  • Seal Leak Monitoring

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • Seal Leak Monitoring After Rework

  • Alarm / Telemetry Contacts

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • Alarm / Telemetry Contacts After Rework

  • Telemetry Units

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Telemetry Units After Rework

  • Control System Functional Test

  • Root Cause of Failure

  • Rework

  • Rework
  • Description of Failure

  • Rework Completed By

  • Control System Functional Test After Rework

  • As-Built Drawing

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • As-Built Drawing After Rework

  • Panel Layout Photo (Bespoke Panels Only - Please Take Photo)

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • Panel Layout Photo (Bespoke Panels Only - Please Take Photo) After Rework

  • Rating Label / CE label

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • Rating Label / CE label After Rework

  • General Operational Instructions Supplied

  • Root Cause of Failure

  • Rework
  • Description of Failure

  • Rework Completed By

  • General Operational Instructions Supplied After Rework

  • Additional Information

  • Further Item
  • Further items if required

SIGN OFF

  • Date Testing Finished

  • Tested By (Please Sign)

  • Verified By (Please Sign)

  • TT107 01.18

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.