| Equipment Type | Model | Serial Number |
|---|---|---|
| Item | Status (Pass/Fail/NA) |
Notes |
|---|---|---|
| Physical Condition (damage, corrosion, etc.) | ||
| Electrical Connections Secure | ||
| Mounting Hardware Intact | ||
| Labeling/Signage Present | ||
| Cleanliness (free of debris/dust) | ||
| Protective Devices Installed | ||
| Operational Test Performed | ||
| Other Observations |