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Date:

Tower:
Floor:
Location:
Inspection and testing of Socket outlets Officer:

No of
Socket outlet number Rating Polarity Earthing
gangs
1 OK/ Not OK OK/ Not OK
2 OK/ Not OK OK/ Not OK
3 OK/ Not OK OK/ Not OK
4 OK/ Not OK OK/ Not OK
5 OK/ Not OK OK/ Not OK
6 OK/ Not OK OK/ Not OK
7 OK/ Not OK OK/ Not OK
8 OK/ Not OK OK/ Not OK
9 OK/ Not OK OK/ Not OK
10 OK/ Not OK OK/ Not OK
11 OK/ Not OK OK/ Not OK
12 OK/ Not OK OK/ Not OK
13 OK/ Not OK OK/ Not OK
14 OK/ Not OK OK/ Not OK
15 OK/ Not OK OK/ Not OK
General Comments:

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