High Voltage Insulation Test Report

General Information

Test Report No.		Date
Customer		Location
Equipment Description
Serial No.		Asset/Tag No.

Test Details

Test Standard		Test Voltage
Duration		Environmental Conditions
Test Instrument		Instrument Serial No.

Test Results

Test Point	Phase/Section	Applied Voltage (kV)	Leakage Current (mA)	Result (Pass/Fail)

Remarks

Tested by

Name & Signature
Date:

Verified by

Name & Signature
Date:

Approved by

Name & Signature
Date: