Information
-
Job No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Task:
Supply
-
MSB Name:
-
MSB Location:
Consumer Mains
-
Consumer Mains to be tested?
-
Consumer Mains Size:
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 185mm
- 240mm
- 400mm
- 630mm
- Other
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Parallel
-
Underground or Overhead:
-
ABC cable, XLPE Cable, Other
-
Circuit protection type:
-
Circuit Protection Size
-
Insulation Resistance Test result:
-
Fault Loop Impedence Test result:
1. Submains, Final Circuits, and/or Equipment
-
Submains, Final Circuits and/or Equipment to be tested?
-
Circuit 1
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colours:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 2
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 3
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 4
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 5
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 6
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 7
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 8
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 9
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 10
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 11
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 12
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 13
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 14
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 15
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 16
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 17
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 18
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 19
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 20
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 21
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 22
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 23
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 24
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 25
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 26
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 27
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 28
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 29
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
-
Circuit 30
-
Visual inspection:
-
Protection Device Type:
-
Protection Load Rating (Amps)
-
Neutral number
-
Phase type
-
Phase Colour:
-
Phase Colour:
- Red
- White
- Blue
-
Phase Colours:
- Red
- White
- Blue
-
Cable size
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- 70mm
- 95mm
- 120mm
- 240mm
-
Continuity Test : Ohms
-
Insulation Resistance : Megohms
-
Polarity test
-
Correct Connections
-
Fault loop impedance Test : Ohms
-
RCD Test
-
Result
-
Result:
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Technician Name:
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Licence Number:
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Declaration:
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I certify that the completed prescribed electrical work to which this certificate applies, has been done lawfully and safely at the time of completion in relation to the Electrical Safety Act, Electrical Safety Regulations, Electrical Standards AS3000:2018, and the Electrical Code of Practice.