Sl.No.

Observatio
n

Location /DB number

Electrician

Name & Sign.

:

Date & time of Inspection

:

HSE officer

Name & Sign.

Whether the
body earthing is
given properly?

Inspected by

Is there
provided ELCB
Encloser?

Is there written
identifcation
Number?

Project name & number:

Working
condition by
Lamp check

Is their
provided
30 mA ELCB?
Working
condition by
Test check

ELCB Inspection Report

ABE-HSE-F-024,Rev.00

Remarks

ABE-HSE-F-024,Rev.00