Barry Conway

Turnaround PAT TEST

PAT Test

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Information

Audit Title
Client / Site
Date of test
Date of next test.
Prepared by

Test Details

Description.
Add media
Location.
Visual inspection.
Leads and plugs appear in good order.
Red label applied. DO NOT USE inform your manager appliance needs replacing
Electrical Class.
Fuse Rating
Earth Bond
Load/leak test
kVA
mA
UNSAFE - Red label applied. DO NOT USE inform your manager appliance needs replacing
Comments
No Comments.
Pass / 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 .

Barry Conway

Turnaround PAT TEST

PAT Test

Use this Template

Print as PDF

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.