Normally Open Contact Switch Inspection Form
Complete this form to document the inspection and condition of a normally open contact switch.
Equipment Name or ID
*
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Switch Identification/Location
*
Inspection Result
*
Pass
Fail
Requires Further Review
Observed Condition
*
Defects Observed (if any)
Corrective Action Taken or Recommended
Inspector Name
*
First Name
Last Name
Inspector Position/Title
Inspector Contact (Email or Phone)
Submit Inspection
Should be Empty: