Insulation Test Resistance

Client Date
Project Locatio

Continuity Cable Schedule

Line – Line Meg-ohms Line- Ground Meg-ohms Line – Neutral Meg-ohms
Item Panel or Equipment Breaker or Test Information
No. Name Starter Size Passed L1 – L1 – L2 –
Type Size L1 - E L2 - E L3 - E N-E L1 - N L2 - N L3 - N
(Yes/No) L2 L3 L3

Confirm that power circuits have been installed as per single line or red-lined drawings accordingly. Yes No N/A
List of Test Equipment Used Manufacturer’s Reference Serial No.

Comments: (If there are NO ADDITIONAL remarks enter NONE, initial and date)
Reason to be written in comments section and, where applicable, raised as an exception or outstanding issue as part of the system handover. If resolved prior to handover comments to be marked
appropriately and signed of accordingly.

Conducted by Witnessed by Witnessed by Accepted by

Company
Signature                        
Print Name            
                 
Date