Field Installation Checklist

INSTRUMENT CABLE INSULATION RESISTANCE

AND CONTINUITY TEST RECORD AFTER INSTALLATION (MULTIPAIR)
Project No./Title: Date:

Location/Area : Tag No.:

Ref. Dwg. No.: Test Equipment:
Serial No.:
Test Voltage: Calib. Cert. No.:
Cable Specs & Size: Expiry Date:

Cable Specification: Size: Length:

Cable Tag No.: From: To:

(A) Insulation Test: between each core to earth/armour (mega ohms)

(B) Insulation Test: between each core to shield (mega ohms)
Core 1 2 3 4 5 6 7 8 9 10
(A)
(B)

Core 11 12 13 14 15 16 17 18 19 20
(A)
(B)

Core 21 22 23 24 25 26 27 28 29 30
(A)
(B)

Core 31 32 33 34 35 36 37 38 39 40
(A)
(B)

Continuity Test Passed: Yes Insulation Test: Between shield/armour MΩ (average)

No Core to core MΩ (average)

Remarks:
 Field Installation Checklist
INSTRUMENT CABLE INSULATION RESISTANCE
AND CONTINUITY TEST RECORD AFTER INSTALLATION (MULTIPAIR)
COMPLETED

I hereby confirm the work has been completed in accordance with Contract specified drawings, technical specifications & standards.

CONTRACTOR REPRESENTATIVE

Signature: Date:

Name: Position:

ACCEPTED

OWNER / OPERATIONS REPRESENTATIVE

Signature: Date:

Name: Position: