Pat Test

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‫الــفـــريــــق الســتــشــــارات الســـالمــــة‬

TEAM SAFETY CONSULTANTS


Client Name : ________________________ Instruments: Job No. : _______________
Location : ________________________ PAT Tester: ___________ Type : ___________ Date of Test : _______________

PORTABLE APPLIANCE TEST REPORT


Bond Test Insulation Load Touch CT Leakage
Item Serial No. / Appliance
Visual RPE RISO ILN PLN IPE ITC ISL Remarks
No. I.D. No Description     
(Ω) (MΩ) (Amp) (VA) (mA) (mA) (mA)

Name and Position of person who Note:  - OK,  - Not OK


carried out the inspection

______________________
Inspection Engineer
TSC Approved by:
Labor Ministry, Dubai Municipality
Civil Defense – Dubai & Jebal Ali Free Zone Authority (Trakhees)
Member of Lifting Equipment Engineers Association (LEEA),
ISO 9001:2015 (QMS) Certified Company
Member of Scaffold & Access Industry Association (SAIA)
Institution of Occupational Safety and Health (IOSH)
Emirates International Accreditation Center ( EIAC- Dubai Municipality)
Accreditation Certificate No – 004 IB

TEAM SAFETY CONSULTANTS, TRADE LICENCE NO. 500714, P.O. BOX: 112349, DUBAI - UAE. TEL: 04-2828868, FAX: 04-2865265

TSC-F-91F (Rev.04) (20/04/2019) Page 1 of 2


TSC-F-91F (Rev.04) (20/04/2019) Page 2 of 2

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