Electrical Thermographic Inspection Checklist Form
Complete this checklist to document the results of your electrical thermal imaging inspection. Ensure all fields are filled accurately for compliance and recordkeeping.
Inspection Subject or Site
*
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
First Name
Last Name
Equipment or Asset Inspected
*
Operating/Load Conditions During Inspection
*
Normal Load
Partial Load
No Load
Overloaded
Ambient Conditions
*
Normal (20-25°C, dry)
High Temperature
Low Temperature
High Humidity
Other
Thermographic Findings
*
Severity/Priority Level
*
Critical – Immediate Action Required
High – Action Required Soon
Moderate – Monitor and Schedule Repair
Low – No Immediate Action Needed
Corrective Action Recommendation
*
Overall Inspection Status/Comments
*
Submit Inspection
Should be Empty: