Customer:
Contractor:
Address:
Address:
Phone No:
Phone No.
Project Reference:
Record 1: Prior to Installation
Cable Type:
Heater Length:
Heater Number:
Insulation Resistance M Ohms:
Tested By:
Date:
Witnessed By:
Date:
Record 2: After Installation
Insulation Resistance M Ohms:
Tested By:
Date:
Witnessed By:
Date:
Record 3: After Thermal Insulation is Installed
Insulation Resistance M Ohms:
Tested By:
Date:
Witnessed By:
Date:
Record 4: Final Commissioning
Panel Number:
Breaker Number:
Volts:
Ambient Temperature (deg. F):
Recorded Amps:
Tested By:
Date:
Witnessed By:
Date:
FLX
™ Cable Testing Report
