Fictional example
Sample test & tag report
This example shows how a report is laid out. The customer, site, equipment and readings are invented.
SAMPLE - NOT A TEST RECORD
This page is for illustration only and is not a record of any inspection or test.
Job summary
- Job ID
- SAMPLE-0001
- Customer
- Example Widgets Ltd (fictional)
- Site
- Level 1, 00 Example Street, Christchurch (fictional)
- Visit date
- 2026-09-15
- Agreed scope
- Accessible plug-in office appliances and separately testable leads on Level 1. Comms cupboard equipment excluded from routine testing pending change approval.
- Tester identifier
- T-01
- Instrument reference
- INSTR-SAMPLE (fictional reference)
- Report version
- 1.0
Result totals
3Completed/pass
1Completed/fail
1Visual inspection only
1Deferred
1Inaccessible
1Excluded
8Total assets listed
Asset results
| Asset ID | Description | Location | Method | Readings | Status | Next test | Notes |
|---|---|---|---|---|---|---|---|
| SAMPLE-A001 | Monitor 24 inch | L1 desk 04 | Class I insulation and earth continuity | 0.08 ohm earth / >200 Mohm IR | Completed/pass | 2027-09 Office environment, agreed interval |
- |
| SAMPLE-A002 | IEC power lead 2 m | L1 desk 04 | Lead test | 0.06 ohm earth / >200 Mohm IR | Completed/pass | 2027-09 Office environment, agreed interval |
- |
| SAMPLE-A003 | Power board 4-outlet | Kitchen | Visual inspection | - | Completed/fail | - Removed from use |
Contact notified 10:42; item tagged out and handed to office manager. |
| SAMPLE-A004 | Network switch 24-port | Comms cupboard | - | - | Deferred | - Requires approved change window |
Supports shared services. Refer to IT lead for change approval. |
| SAMPLE-A005 | Multifunction printer | Copy room | - | - | Inaccessible | - Re-attempt next visit |
Plug behind fixed cabinetry; access to be arranged. |
| SAMPLE-A006 | Desk fan | L1 desk 11 | Visual inspection only | - | Visual inspection only | - Electrical test to be scheduled |
Manufacturer guidance to be confirmed before test. |
| SAMPLE-A007 | Wall-mounted heater (hard-wired) | Meeting room | - | - | Excluded | - Outside service scope |
Fixed wiring and hard-wired appliances are not covered. |
| SAMPLE-A008 | Kettle | Kitchen | Class I insulation and earth continuity | 0.05 ohm earth / >200 Mohm IR | Completed/pass | 2027-03 Kitchen use, agreed interval |
- |
Follow-up actions
- SAMPLE-A003 (Completed/fail): Contact notified 10:42; item tagged out and handed to office manager. Follow-up owner: customer site contact.
- SAMPLE-A004 (Deferred): Supports shared services. Refer to IT lead for change approval. Follow-up owner: customer site contact.
- SAMPLE-A005 (Inaccessible): Plug behind fixed cabinetry; access to be arranged. Follow-up owner: customer site contact.
- SAMPLE-A006 (Visual inspection only): Manufacturer guidance to be confirmed before test. Follow-up owner: customer site contact.
Limitations
Results record equipment condition at the time of inspection and testing only. This is not an electrical installation certificate and does not cover fixed wiring. Untested items are not given a pass result.
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