Insulation Test Form [PDF]

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RECORD OF M & E SERVICES INSPECTION Attn



: RE / RTO



Ref No :



Location



: MTC nanoSpace



Storey :



Services



: Electrical Services



Location :



Type of Test



: Insulation Test



Date :



Brief Description of Work



Insulation for incoming & outgoing circuit cable



Drawing Reference No. :



See attached



MSB / Sub-Board / DB No.: Main Supply Capacity : (MCCB / MCB) Main Cable Size : Testing Equipment Used : Brand : Model : Circuit Number



Cable Size



KYORITSU 6010A MCCB / MCB Rating



Serial Number : W0413410 Rating : 500V Insulation Test Result in Mega Ohm L1 - N L2 - N L3 - N



L1 - E



L2 - E



L3 - E L1 - L2 L2 - L3 L1 - L3



Remarks



Inspection Result : Performed by : Sub-Contractor's Rep. SVP Integrated Pte Ltd



PASSED / FAILED Inspected by: Main-Contractor Rep. Kienta Engineering Construction Pte Ltd



Name :



Name :



RE / RTO



Signature :



Signature :



Signature :



Date :



Date :



Date :



Witnessed by :



N-E