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1SALES MAINTENANCE SERVICES AUTOMATION AUDIO/VISUAL INSTRUMENTATION&CONTROL SAFETY&SECURITY MEP WORKS
A.C. Cortes Ave., Cambaro, Mandaue City 6014, Cebu Philippines; Contact No.: 092 2953 9333 or 0928 613 6306; LL : 032 340 0805
Email add: dcncsalesservices@gmail.com
INSULATION RESISTANCE TEST DATA FORM
GENERAL INFORMATION:
Date:_____________ Test No.:________________
Client: ______________________________________ Ref. PO No.: __________________________________
Technician:______________________ Company:______________________ Circuit ID/Name:_____________
Circuit Information: __________________________________________________________________________
Phase Conductor Size:_____________________ Circuit Install Date/Age:_________________________
Neutral Conductor Size:_____________________ Conductor Rated Voltage:_______________________
Ground Conductor Size:_____________________ Circuit Length:________________________________
Wire/Cable : Conduit/Duct Size
Manufacturer:_____________________________ and Type:_____________________________
Wire/Cable Type:_________________________ Installation: ☐ Indoor ☐ Outdoor
Buried: ☐ Yes ☐ No
Wire Insulation Type:________________________ Concrete-Encased: ☐ Yes ☐ No
Wire Insulation Number and
Thickness:_____________________________ Type of Splices: ______________________________
Shielded: ☐ Yes ☐ No
Testing Conditions:
Ambient
Temperature:________________________ Meter Manufacturer:___________________________
Relative Humidity:_______________________ Meter Model:__________________________
Test Voltage (DC):_______________________ Meter Serial:__________________________
Wire Grounding
Time Prior to Test:_______________________
Were adjacent conductors (within same conduit/cable) grounded during test? ☐ Yes ☐ No
2SALES MAINTENANCE SERVICES AUTOMATION AUDIO/VISUAL INSTRUMENTATION&CONTROL SAFETY&SECURITY MEP WORKS
A.C. Cortes Ave., Cambaro, Mandaue City 6014, Cebu Philippines; Contact No.: 092 2953 9333 or 0928 613 6306; LL : 032 340 0805
Email add: dcncsalesservices@gmail.com
Date:_____________ Circuit ID/Name:______________________ Test No.:_______________
Test Results: Where a circuit does not contain a neutral conductor, Test time of 60sec or 1-min @ 250VDC
Resistance in ☐ MΩ ☐ GΩ
SN Circuit no. / Description
Test Connection
L1-GND L2-GND L1 – L2 REMARKS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Notes and Remarks (note any circumstances which may affect test results):
Client:
Noted by:
Prepared by:
DCNC Sales & Service
Corp. Technician
DCNC Sales & Service Corp
Supervisor
Client representative

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INSULATION RESISTANCE TEST FORMAT _ ELECTRICAL WORKS

  • 1. 1SALES MAINTENANCE SERVICES AUTOMATION AUDIO/VISUAL INSTRUMENTATION&CONTROL SAFETY&SECURITY MEP WORKS A.C. Cortes Ave., Cambaro, Mandaue City 6014, Cebu Philippines; Contact No.: 092 2953 9333 or 0928 613 6306; LL : 032 340 0805 Email add: dcncsalesservices@gmail.com INSULATION RESISTANCE TEST DATA FORM GENERAL INFORMATION: Date:_____________ Test No.:________________ Client: ______________________________________ Ref. PO No.: __________________________________ Technician:______________________ Company:______________________ Circuit ID/Name:_____________ Circuit Information: __________________________________________________________________________ Phase Conductor Size:_____________________ Circuit Install Date/Age:_________________________ Neutral Conductor Size:_____________________ Conductor Rated Voltage:_______________________ Ground Conductor Size:_____________________ Circuit Length:________________________________ Wire/Cable : Conduit/Duct Size Manufacturer:_____________________________ and Type:_____________________________ Wire/Cable Type:_________________________ Installation: ☐ Indoor ☐ Outdoor Buried: ☐ Yes ☐ No Wire Insulation Type:________________________ Concrete-Encased: ☐ Yes ☐ No Wire Insulation Number and Thickness:_____________________________ Type of Splices: ______________________________ Shielded: ☐ Yes ☐ No Testing Conditions: Ambient Temperature:________________________ Meter Manufacturer:___________________________ Relative Humidity:_______________________ Meter Model:__________________________ Test Voltage (DC):_______________________ Meter Serial:__________________________ Wire Grounding Time Prior to Test:_______________________ Were adjacent conductors (within same conduit/cable) grounded during test? ☐ Yes ☐ No
  • 2. 2SALES MAINTENANCE SERVICES AUTOMATION AUDIO/VISUAL INSTRUMENTATION&CONTROL SAFETY&SECURITY MEP WORKS A.C. Cortes Ave., Cambaro, Mandaue City 6014, Cebu Philippines; Contact No.: 092 2953 9333 or 0928 613 6306; LL : 032 340 0805 Email add: dcncsalesservices@gmail.com Date:_____________ Circuit ID/Name:______________________ Test No.:_______________ Test Results: Where a circuit does not contain a neutral conductor, Test time of 60sec or 1-min @ 250VDC Resistance in ☐ MΩ ☐ GΩ SN Circuit no. / Description Test Connection L1-GND L2-GND L1 – L2 REMARKS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Notes and Remarks (note any circumstances which may affect test results): Client: Noted by: Prepared by: DCNC Sales & Service Corp. Technician DCNC Sales & Service Corp Supervisor Client representative