Motor Control Circuit Evaluation Sheet
Date
Evaluator
Project/Device
Location
Department
Reference Number
1. Motor Circuit Details
Item
Description
Remarks
Motor Type
Power Rating
Voltage
Control Method
Starter Type
2. Visual Inspection
Criteria
Pass/Fail
Remarks
Wiring Layout
Pass
Fail
Component Mounting
Pass
Fail
Grounding
Pass
Fail
3. Functional Checks
Test
Status
Remarks
Start/Stop Control
Pass
Fail
Overload Protection
Pass
Fail
Interlock System
Pass
Fail
Indicator Function
Pass
Fail
Additional Notes / Recommendations