LOCATION :
SCAFFOLDING TYPE : GENERAL SCAFFOLD :
MAX LOAD :
CONSTRUCTED : DATE :
DESCRIPTION :
USER : INSPECTION BY :
1 Transformer 3 Pass
2 Main Panel
3 Sub Panel
4 Main Line
5 Sub Distributor Line
6 Main Circuit Breaker
7 Sub Circuit Breaker
8 Cable Condition
9 Sub Distribution Cable
10 Fuse
11 How Many panel
12 Position of Cable
13 Fire Extinguisher
Size Inspection
No Location Type Kg/Lt Date Service Expired Weekly Monthly Remark
Size Inspection
No Location Type Kg/Lt Date Service Expired Weekly Monthly Remark
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HSE Dept. Ware House Dept.