elecmaint / equipment inspection record
Trip circuits & lockout relays Startup Checklist
Engineer name
Date
Work scope & measurement context (optional record fields)
References only. This site supplies no acceptance values, test settings, intervals or release instructions. Selecting a scope does not authorize work. Use Remarks for row-specific context; refer to original files, which are not uploaded here.
Draft · technical review pending. Recording prompts only; not procedures or acceptance criteria. Work and access require your approved plan. No normal ranges, pass/fail values, test settings or maintenance intervals are supplied. Condition results are user-entered judgements under separately approved criteria. Evidence/task/measurement OK means the specified record is complete, not healthy equipment. This checklist does not authorize release to service. Unit selection does not convert values.
How to read this form
- As-found observation
- Describe what was observed. OK / Not OK are unavailable.
- Condition
- OK = User assessment under the referenced approved criteria.
- Measurement record
- OK = Required measurement record and context are complete.
- Evidence check
- OK = Required reference or evidence is verified.
- Task record
- OK = The specified recording task is complete.
- Blank / Pending / N/A
- Blank is unclassified. Pending identifies missing checks, evidence or criteria. N/A needs a reason in Remarks.
No row or completed form certifies safety, compliance or fitness for service.
Engineer/date/signature spaces remain for handwriting. Multiple records can be saved locally in this browser and exported; no cloud backup, file attachments or team approval is provided. Older template records stay separate and are not reinterpreted. Keep sensitive information off shared devices.
0 of 48 checkpoints recorded
Compare with an earlier saved inspection
Enter the same Equipment ID, Site and installed-asset identity / serial reference. Only the same template revision is compared. Context and units are shown without conversion or condition verdicts.
Records on hand & preparation
Record the documents and scope available for this inspection. Recording completion is not work authorization.
1
Record equipment identity, subtype, model and installation locationTask record · OK = The specified recording task is complete
2
Reference current drawings, manufacturer manual revision and approved startup scopeTask record · OK = The specified recording task is complete
3
Record installation, shipping/storage and prior repair discrepanciesTask record · OK = The specified recording task is complete
4
Reference approved work controls, responsible personnel and specialist scopeTask record · OK = The specified recording task is complete
5
Record equipment-specific test methods and instrument/calibration referencesTask record · OK = The specified recording task is complete
6
Identify fitted parts, exclusions and separately approved release requirementsTask record · OK = The specified recording task is complete
| No. | Checkpoint | Value / observation | OK | Not OK | N/A | Remarks |
|---|---|---|---|---|---|---|
| 7 | Trip/close coil and control voltage identity are recordedEvidence check · OK = Required reference or evidence is verified | |||||
| 8 | Control wiring, terminal and fuse condition are documentedEvidence check · OK = Required reference or evidence is verified | |||||
| 9 | Trip circuit supervision and alarm evidence is referencedEvidence check · OK = Required reference or evidence is verified | |||||
| 10 | Approved trip/close operation report identifies source and control modesEvidence check · OK = Required reference or evidence is verified | |||||
| 11 | Approved trip/close circuit functional report — attach the approved report with method, conditions and source reference; only if in scopeEvidence check · OK = Required reference or evidence is verified | |||||
| 12 | Installation/commissioning evidence for trip & close circuits: drawing/manual revision, as-installed configuration and unresolved punch-list referenceEvidence check · OK = Required reference or evidence is verified |
| No. | Checkpoint | Value / observation | OK | Not OK | N/A | Remarks |
|---|---|---|---|---|---|---|
| 13 | Relay model, serial, firmware and calibration records are retainedEvidence check · OK = Required reference or evidence is verified | |||||
| 14 | Display, LEDs, terminals and auxiliary supply observations are documentedEvidence check · OK = Required reference or evidence is verified | |||||
| 15 | Approved settings backup and checksum/revision are recordedEvidence check · OK = Required reference or evidence is verified | |||||
| 16 | Injection/functional reports identify functions, binary IO and test equipmentEvidence check · OK = Required reference or evidence is verified | |||||
| 17 | Approved relay-specific injection report — attach the approved report with method, conditions and source reference; only if in scopeEvidence check · OK = Required reference or evidence is verified | |||||
| 18 | Installation/commissioning evidence for relay hardware: drawing/manual revision, as-installed configuration and unresolved punch-list referenceEvidence check · OK = Required reference or evidence is verified |
| No. | Checkpoint | Value / observation | OK | Not OK | N/A | Remarks |
|---|---|---|---|---|---|---|
| 19 | Approved logic diagram and settings revisions are recordedEvidence check · OK = Required reference or evidence is verified | |||||
| 20 | Permissive, trip and alarm test evidence references the tested pathsEvidence check · OK = Required reference or evidence is verified | |||||
| 21 | Temporary overrides and disabled logic are documentedEvidence check · OK = Required reference or evidence is verified | |||||
| 22 | Change authorization and as-left configuration evidence are retainedEvidence check · OK = Required reference or evidence is verified | |||||
| 23 | Approved logic/setting verification report — attach the approved report with method, conditions and source reference; only if in scopeEvidence check · OK = Required reference or evidence is verified | |||||
| 24 | Installation/commissioning evidence for logic & settings: drawing/manual revision, as-installed configuration and unresolved punch-list referenceEvidence check · OK = Required reference or evidence is verified |
| No. | Checkpoint | Value / observation | OK | Not OK | N/A | Remarks |
|---|---|---|---|---|---|---|
| 25 | DC circuit identity, nominal rating and polarity labels are recordedEvidence check · OK = Required reference or evidence is verified | |||||
| 26 | Accessible connections, protection and earth fault indications are documentedEvidence check · OK = Required reference or evidence is verified | |||||
| 27 | Load and backup source operating records are referencedEvidence check · OK = Required reference or evidence is verified | |||||
| 28 | DC voltage reports identify measurement point and operating conditionEvidence check · OK = Required reference or evidence is verified | |||||
| 29 | Approved DC voltage report — attach the approved report with method, conditions and source reference; only if in scopeMeasurement record · OK = Required measurement record and context are complete | |||||
| 30 | Installation/commissioning evidence for dc circuits: drawing/manual revision, as-installed configuration and unresolved punch-list referenceEvidence check · OK = Required reference or evidence is verified |
| No. | Checkpoint | Value / observation | OK | Not OK | N/A | Remarks |
|---|---|---|---|---|---|---|
| 31 | Terminal and conductor identity match the reviewed connection drawingEvidence check · OK = Required reference or evidence is verified | |||||
| 32 | Discoloration, insulation damage and heat marks are recorded by terminalEvidence check · OK = Required reference or evidence is verified | |||||
| 33 | Conductor support, bend and strain-relief discrepancies are documentedEvidence check · OK = Required reference or evidence is verified | |||||
| 34 | Approved torque/service evidence is referenced without inferring a torque valueEvidence check · OK = Required reference or evidence is verified | |||||
| 35 | Approved connection-resistance report — attach the approved report with method, conditions and source reference; only if in scopeMeasurement record · OK = Required measurement record and context are complete | |||||
| 36 | Installation/commissioning evidence for power connections: drawing/manual revision, as-installed configuration and unresolved punch-list referenceEvidence check · OK = Required reference or evidence is verified |
| No. | Checkpoint | Value / observation | OK | Not OK | N/A | Remarks |
|---|---|---|---|---|---|---|
| 37 | Corrosion, coating damage and impact marks are recorded by locationEvidence check · OK = Required reference or evidence is verified | |||||
| 38 | Door seals, latches, hinges and covers have documented conditionEvidence check · OK = Required reference or evidence is verified | |||||
| 39 | Water ingress, condensation and contamination evidence are recordedEvidence check · OK = Required reference or evidence is verified | |||||
| 40 | Mounting, anchoring and accessible structural supports are documentedEvidence check · OK = Required reference or evidence is verified | |||||
| 41 | Enclosure inspection and ingress-control record — attach the approved report with method, conditions and source reference; only if in scopeEvidence check · OK = Required reference or evidence is verified | |||||
| 42 | Installation/commissioning evidence for enclosure & structure: drawing/manual revision, as-installed configuration and unresolved punch-list referenceEvidence check · OK = Required reference or evidence is verified |
| No. | Checkpoint | Value / observation | OK | Not OK | N/A | Remarks |
|---|---|---|---|---|---|---|
| 43 | Attach original reports, photographs and manufacturer-document referencesTask record · OK = The specified recording task is complete | |||||
| 44 | Record units, method, conditions and instrument identity for each entered resultTask record · OK = The specified recording task is complete | |||||
| 45 | Explain excluded or inapplicable parts and missing evidenceTask record · OK = The specified recording task is complete | |||||
| 46 | Record discrepancies and assign follow-up owner and due-date referenceTask record · OK = The specified recording task is complete | |||||
| 47 | Record qualified review and separately authorized dispositionTask record · OK = The specified recording task is complete | |||||
| 48 | Reference restoration or release records; this checklist does not authorize releaseTask record · OK = The specified recording task is complete |
Engineer signature
Reviewer / reference
elecmaint.com · Template V6 · 48 checkpoints · No automatic condition assessment. OK does not certify safety or fitness for service. N/A requires an explanation; unknown/unverified items remain unclassified.