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AS/NZS 3760 Test and Tag Record

In-service safety inspection and testing per AS/NZS 3760:2022

Company
logo

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Site and Technician Details

Organisation

Test date

Site / location

Environment type

Technician name

Licence / competency no.

Test instrument

Instrument cal. due

Result key: P = Pass • F = Fail • N/A = Not applicable for equipment class • Values must meet AS/NZS 3760:2022 Table 4 limits

#	Asset ID / Tag No.	Description	Class	Visual	Earth (Ω)	Insulation (MΩ)	Polarity	Leakage (mA)	RCD (ms)	P/F	Action / Notes
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Tag Details Summary

Tag colour applied

Tag period

Items tested

Items passed

Items failed

Next test due date

Failed Items Register

#	Asset ID / Tag No.	Description	Failure Reason	Action Taken	Date
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Declaration

I confirm that all items listed above were inspected and tested in accordance with AS/NZS 3760:2022 using a calibrated test instrument. Results are an accurate record of testing performed on the date shown. Failed items have been tagged as unsafe and removed from service or repaired and retested as noted above.

Testing Technician

Printed name

Licence / competency no.

Signature

Date

Site Supervisor / Manager

Printed name

Position

Signature

Date