PAT Testing Summary

The Failed Appliances listed below are considered to be unsafe for use and have been made non-operational by having their fuse removed. The nominated Responsible Person on site, being the Duty Holder, should have these appliances repaired or disposed of
without delay. Please consider the environment when disposing of appliances along with your responsibilities under the WEEE Regulations.

Customer (Company Name):

Site Address: Failure Code
1 Damaged flex 6 Failed Earth Continuity Test
2 Damaged casing 7 Failed Insulation Resistance Test
3 Exposed live parts 8 Failed Earth Leakage Test
4 Exposed moving parts 9 Other - Please specify
5 Missing blade guard
Contact Name (Duty Holder):

Appliance Failure
Appliance Description Location Repair or Recycle? Notes
Number Code

The points below are of a non-compliance nature, but are not considered to be failures, or are outside PAT Test Summary Engineer Details

the scope of this inspection e.g. part of the fixed installation etc Name:
Number of Appliances Inspected
Number of Failed Appliances
and/or Tested

Signature:

Date:
Number of Repairs Number of Plugs Fitted

Site Contact / Responsible Person

Name:

Microwave Oven Emissions Tests

Number of Fuses Changed
(Optional) Signature:

Date:

© 2018 Priory PAT Consultants - All Rights Reserved FAILED APPLIANCE REPORT v5.01.01 Additional copies available at www.priorytrainingacademy.co.uk