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OWNER:
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
Triplet
Triplet
Triplet
Single
Single
Single
Single
wire
wire
wire
wire
Pair
Pair
Pair
Pair
SIGNATURE
DATE