
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
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