Maintenance Bypass Switch Inspection Checklist Form
Complete this checklist to document the inspection of a maintenance bypass switch.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Equipment/Switch Identification
*
Location
*
Switch Type
*
Please Select
Manual
Automatic
Other
Switch Status at Inspection
*
Please Select
Normal
Bypass Engaged
Fault
Other
Inspection Observations
*
Defects or Abnormalities Detected
*
Corrective Action Taken (if any)
Overall Outcome
*
Pass / Serviceable
Fail / Not Serviceable
Submit Inspection
Should be Empty: