Uninterruptible Power Supply Testing Checklist Form
Complete this checklist to record the results of your UPS testing and inspection.
UPS Location or Identifier
*
Inspector Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Visual Inspection Status
*
No issues observed
Minor issues (non-critical)
Major issues (requires attention)
Battery Condition
*
Good
Replace soon
Needs immediate replacement
Load Test Result
*
Pass
Fail
Alarm Status
*
No alarms
Active alarms present
Environmental Conditions
Temperature within safe range
Humidity within safe range
Area clear of obstructions
Other
Issues Noted (if any)
General Comments
Submit Checklist
Should be Empty: