Electrical test instrument accuracy record checklist
Record sheet
What does this form include?
This form contains 42 sections:
Test Date Date
Operative name
Pay roll reference number
Instrument function
Acquisition date Date
Date of last formal calibration Date
Make
Model
Serial number
Type of calibration
Volts
Continuity
0.5Ω
5Ω
250V 0.25MΩ
Insulation
500V 0.5MΩ
1kV 1MΩ
9MΩ
90MΩ
Loop (Ω)
Loop + 10Ω
Loop + 180Ω
PFC (kA)
½ I 5mA (ms) 0°
I 10mA (ms)
I 10mA (ms) 180°
5 I 50mA (ms) 0°
5 I 50mA (ms)180°
½ I 15mA (ms) 0°
I 30mA (ms) 0°
I 30mA (ms) 180°
5 I 150mA (ms) 0°
5 I 150mA (ms) 180°
½ I 100mA (ms) 0°
I 100mA (ms) 0°
I 100mA (ms) 180°
5 I 500mA (ms) 0°
5 I 500mA (ms) 180°
Date of next calibration Date
Operative signature
Electrical Qualifying Supervisor signature
Use this template