| PORTABLE APPLIANCE TESTING REPORT | ||||||||||||
|
REPORT NO.: | 
|
||||||||||
| DATE: | ||||||||||||
| APPLIANCE DESCRIPTION | VISUAL | TEST | Functional | DATE OF | PASS | COMMENTS | ||||||
| ID NO. | APPLIANCE LOCATION | CLASS | INSPECT | EARTH | INSULATION | Check | NEXT TEST | or | ||||
| Ohms | Mohms | FAIL | ||||||||||
| TOTAL APPLIANCES: | ||||||||||||
| TEST ENGINEER SIGNATURE: | TEST ENGINEER NAME: | |||||||||||
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