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Inspection Requirements

* Mandatory fields.

Site Information

Site Name *		Equipment ID *
HA DWG		Equipment Location *
Grid		Equipment Type *
		Equipment Description *

Zone *		EPL		Group
Max (°C) *		Min (°C) *		IP Rating *

Equipment Information

Make *

Model *

Certificate Type

Certificate No *

Serial Number *

Special Condition *

EPL

Group

Temp. Class *

Max (°C) *

Min (°C) *

IP Rating

Protection Technique *

Sub Prot. Technique *

Additional Ex Equipment Data (For example glands, reducers, blanking elements etc.)

Inspection Details

Type *		Grade *		Previous Inspection Date
Additional Comments

Additional Informations

Referenced Documents

Referenced Drawing Types

Defects and Actions

Installation Photos

Select Photos

Inspector Details and Sign Off

Name of Inspector *

Name of Site Focal Point *

Date *