Electrical Safety Test Report Form
Please fill out the details of the electrical safety test conducted.
Date of Test
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Tested By (Name)
*
First Name
Last Name
Equipment Name/ID
*
Location of Equipment
*
Test Voltage (V)
*
Test Current (A)
*
Insulation Resistance (MΩ)
*
Test Result
*
Pass
Fail
Additional Comments
*
Tester Signature
*
Submit
Should be Empty: