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QUALITY CONTROL FORM EFR 06G PROJ. No.: QCF REV. SH. 1 OF 1

ELECTRICAL CABLES
SUBCONTRACTOR: EFR 06G N° ____
EXTRA LV SIGNAL CABLE TESTING REPORT
GENERAL DATA
Location / area: System / subsystem: Date (dd/mm/yy):
Cable tag: From: To:
Circuit length: m Cable formation: _____ x ______ mm² Single Pairs Triplets
Rated voltage: V Operating voltage: V Insulation: XLPE PVC EPR Other ______
Joints Yes no.____ No Manufacturer: Cable reel no.:
CONTINUITY CHECK
Tester manuf.: Type: Calibration date: Recalibration date:
Triplet

Triplet

Triplet

Triplet
Single

Single

Single

Single
Continuity Continuity Continuity Continuity
wire

wire

wire

wire
Pair

Pair

Pair

Pair
check check check check

Pass Fail Pass Fail Pass Fail Pass Fail


1 13 25 37
1P 7P 13P 19P
1T 2 5T 14 9T 26 38
3 15 27 39
2P 8P 14P 20P
4 16 28 40
2T 5 6T 17 10T 29 41
3P 9P 15P 21P
6 18 30 42
7 19 31 43
4P 10P 16P 22P
3T 8 7T 20 11T 32 44
9 21 33 45
5P 11P 17P 23P
10 22 34 46
4T 11 8T 23 12T 35 47
6P 12P 18P 24P
12 24 36 48
Shield continuity: Pass Fail
Acceptable: Yes No
INSULATION TEST (MEGGER)
Megger manuf.: Type: Calibration date: Recalibration date:
Test voltage and time: _____ VDC for ___ min Acceptance criteria: I. R. > ______ MΩ
For test performance, connect all other cable wires among them and then to the ground, leaving isolated only the wire under test
Triplet

Triplet

Triplet

Triplet
Single

Single

Single

Single
wire

wire

wire

wire
Pair

Pair

Pair

Pair

Insulation Insulation Insulation Insulation

Readings Readings Readings Readings


1 MΩ 13 MΩ 25 MΩ 37 MΩ
1P 7P 13P 19P
1T 2 MΩ 5T 14 MΩ 9T 26 MΩ 38 MΩ
3 MΩ 15 MΩ 27 MΩ 39 MΩ
2P 8P 14P 20P
4 MΩ 16 MΩ 28 MΩ 40 MΩ
2T 5 MΩ 6T 17 MΩ 10T 29 MΩ 41 MΩ
3P 9P 15P 21P
6 MΩ 18 MΩ 30 MΩ 42 MΩ
7 MΩ 19 MΩ 31 MΩ 43 MΩ
4P 10P 16P 22P
3T 8 MΩ 7T 20 MΩ 11T 32 MΩ 44 MΩ
9 MΩ 21 MΩ 33 MΩ 45 MΩ
5P 11P 17P 23P
10 MΩ 22 MΩ 34 MΩ 46 MΩ
4T 11 MΩ 8T 23 MΩ 12T 35 MΩ 47 MΩ
6P 12P 18P 24P
12 MΩ 24 MΩ 36 MΩ 48 MΩ
Acceptable: Yes No
REMARKS :

INSPECTORS SUBCONTRACTOR CONTRACTOR OWNER


NAME

SIGNATURE

DATE

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