Non-Contact Circuit Tester Inspection Form
Complete this form to document the inspection, operation, calibration, and safety status of a non-contact circuit tester.
Inspector Name
*
First Name
Last Name
Date of Inspection
*
-
Month
-
Day
Year
Date
Asset/Tester Serial Number
*
Physical Condition
*
Excellent
Good
Fair
Poor
Damaged
Operation Test Result
*
Pass
Fail
Not Tested
Calibration Status
*
Calibrated
Calibration Due
Not Applicable
Safety Features Check
*
Insulation Intact
No Exposed Conductors
Warning Indicators Functional
Battery Compartment Secure
Overall Inspection Rating
*
1
2
3
4
5
Corrective Actions or Comments
Photo of Tester (if applicable)
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