Factory Name

Address
Department
MDB/DB/SDB No: Daily Checklist for HT Panel Month: ……………..……../2023
Capacity:
Staff doing inspection should fill each box as he/she finds that item is functioning OK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
SI Checking Point
1 Voltage while Checking
2 Current while Checking
3 Check Insulating Mat
4 Check panel Door Locked or not?
5 Check Panel Ammeter, Voltmeter, Lamp
functioning
6 Check panel in front accessible condition
7 Check Single line diagram
8 Check panel body and door earthing
9 Check ampere per phase
10 Check V L-N and L-L
11 Check Panel Clean
12 Check First Aid /Artificial Respiration SOP
13 Check DC system Voltage
(108V - 112V)

14 Comment / Observation

Signature of the staff