6-7
Safety Checks
032-0358-EN Rev B
Test Results Form
Testing organization:
Responsible organization:
Equipment:
Test:
Manufacturer:
Type:
Applied part type:
Accessories:
Visual inspection:
Measurement equipment:
Name of testing person:
Test before putting into service (reference value):
Recurrent test:
Test after repair:
ID-Number:
Production No./Serial Nr.:
Class of protection:
Mains connection:
Complies:
Yes
No
B
I
PIE
NPS
DPS
1
Measurements:
Protective Earth Resistance (Passes Ground Check)
Earth Leakage Current (All readings equal to or below limit)
Insulation Resistance
Functional Test (Passes - equipment operational)
Deficiency / Note:
Overall assessment:
No safety or functional deficiencies were detected.
No direct risk, deficiencies detected may be corrected on short term.
Equipment shall be taken out of operation until deficiencies are corrected.
Equipment does not comply:
Modification / Exchange of components / Taking out of service - is recommended.
Next recurrent test necessary in 6 / 12 / 24 / 36 months
Name:
Date / Signature:
PIE Permanent installed equipment
NPS Non-detachable power supply cord
DPS Detachable power supply cord
1
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