Power Supply Troubleshooting Checklist Form
Complete this checklist to document and diagnose power supply issues thoroughly.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Last Name
Equipment or Device ID
*
Describe the Reported Issue
*
Is the power supply unit physically intact?
*
Yes
No
Check for visible damage (burn marks, swelling, loose wires)
*
No visible damage
Burn marks
Swelling
Loose wires
Other
Input voltage measured (in volts)
*
Output voltage measured (in volts)
*
Power supply operational status after checks
*
Operational
Intermittent
Non-operational
Actions Taken / Additional Notes
Submit Checklist
Should be Empty: