PAT Testing Risk Assessment Checklist
Complete this checklist to assess the safety and compliance of electrical appliances through visual and functional inspection.
Appliance Details
Provide identifying information for the appliance being assessed.
Appliance Name/Description
*
Asset/Serial Number
Location of Appliance
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Visual and Functional Checks
*
Rows
Pass
Fail
N/A
Plug (intact, no damage)
1
2
3
Cable (no fraying or cuts)
4
5
6
Appliance casing (no cracks/damage)
7
8
9
Correct fuse fitted
10
11
12
No signs of overheating
13
14
15
Earth connection present (if applicable)
16
17
18
Functionality (operates as intended)
19
20
21
Overall Risk Level
*
Low
1
2
3
4
High
5
1 is Low, 5 is High
Assessment Outcome
*
Pass
Fail
Comments/Observations
Assessor Name
*
First Name
Last Name
Assessor Email
*
example@example.com
Submit Checklist
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