Losation: - - ‘Switchboard No. - Function: Manufacturer: - ‘Switching device type: - Panel No. - Rating: - NOTE ‘Complete page 2 for lighting circuits (one form per board) Complete page 2 for convenience eicuite (one fom per bosrd), 1. Check the following items and note any deviationsidefects under remarks: Circuit labeling Mechanical damage Door interlock Mechanical position indication Electrical closing local/remote Electrical tripping local/remote Alarm indication localfrermote Wiring connection and marking test insulation resistance wif ng at 500 V ma 2. Earthing Check the condition of the earthing bar and connections 3. Insulation resistance test switching device at $00 V Phase L1V-E Le Lae eee MOL 4. Protection relay test (Form No. 12) Sheet No. 5. Restart relay tested result - 6. Check and record the fuse: Class Rating Condition 7. Remarks Inspector Date: