Equipment Grounding Log Form

This Form should be used in accordance with the Assured Grounding (Electrical) Standard (MS-HS-STD-0027).
Project Details
E.g. Project Title [Insert Text] E.g. Customer [Insert Text]

E.g. Project Number [Insert Text] E.g. Project Manager [Insert Text]

Jobsite: Designated Competent Person(s):

(1) (2) Inspection (7) Retested (10)

Location and Serial Date Remarks
(3) (4) (5) (6) (8) (9)
Equipment Number Number Repaired.
Date Date Date Date Init Date Init.
Insp. SAT UNSAT

Color codes (in the absence of local/regulated color scheme):

Quarters: 1, White; 2, Green; 3, Red; 4, Orange
Semi-annual: January - June, White; July - December, Red
Annual: 2019, Green; 2020, White; 2021, Red; 2022, Orange;

Effective Date at JESA: 20 January 2021 MS-HS-FRM-0026 Rev 0 01 December 2019