DEPARTMENT OF PUBLIC

WORKS
AND HIGHWAYS
Main
Feeder

Testing
Main Distribution
Panel
PROJECT:
Board (Rating)
Wire Size
LOCATION:
Test Point
Instrument
Used
DATE
REQUESTED:
Test Date
ET
Control No.:
IRT Weather
Condition
SCOPE OF WORKS:

Cable

INSULATION RESISTANCE TEST

(MAIN DISTRIBUTION PANEL)

_____________________
_____________________
Line to ground
_____________________
_____________________
_____________________

:
:
:
:
:

ATTACH DRAWINGS/ KEY PLANS

ACTUAL INSPECTION DATE/TIME:

AREA/FLOOR LEVEL:

CHECK THAT THE FOLLOWING COMPLY WITH APPROVED SUBMITTALS FOR CONSTRUCTION DRAWINGS AND TECHNICAL
SPECIFICATIONS.

Line to Ground

Reading
in M

Complied
YES
NO

Set -1
L1 - G
L2 - G
L3 - G

Testing
Main Distribution
Panel
Board (Rating)
Wire Size
Test Point
Instrument Used
Test Date
Weather Condition

Line to Line

Remarks
(Pass/ Fail)

Recommendation

Remarks
(Pass/ Fail)

Recommendation

: Main Feeder Cable

:
:
:
:
:
:

_____________________
_____________________
Line
_____________________
_____________________
_____________________

Reading
in M

Complied
YES
NO

Set -1
L1 L2
L2 L3
L3 L1

CONDUCTED BY:
_____________________
Contractor

CONFIRMED BY:
_____________________
QC Engineer

INSPECTED BY:
_______________________
DPWH-Inspector

APPROVED BY:

DPWH | Project Implementation Forms- Test Forms

B-14

____________________________
DPWH- ProjectElectrical Engineer

DISTRIBUTION:

Contractor

QC Engineer

Inspector

Project Engineer

DPWH | Project Implementation Forms- Test Forms

B-14