Workshop and tools · WT-04

Portable Appliance Inspection Record

A free printable portable appliance inspection record — a register of portable electrical equipment with a blank check date and result column.

Download Free · no sign-up

2 pages. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

A4 57 kB US Letter 57 kB

Fill it in type and save

A4 232 kB US Letter 232 kB

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Keep one register of the portable electrical equipment you are responsible for, with a dated line each time an item is checked and by whom.

Who it is for

Workshops, offices, village halls, holiday lets, event and hire companies, and anyone keeping their own record of portable electrical equipment.

How to use it

List each item once with its make, model and asset or ID number.
Mark the same number on the item so a line can always be matched to a plug.
Record the date, who carried out the check, and the result they recorded.
Note what was done about anything found, and when the next check is planned.

What is on the sheet

2 pages, in this order:

Page 1

Printed under the title: A register of portable electrical equipment, with a column for the date each item was checked and the result that was recorded. Deliberately blank: no intervals, no test values, no criteria.

Inspection regimes differ — check yours. What has to be inspected or tested, how often, by whom, and what has to be written down all differ by country, and differ again between equipment used at home and equipment used at work. Check what applies to you. Filling this sheet in records what you did; it does not demonstrate compliance with anything.

Write-on lines: Premises · Register kept by · Year

Equipment register — one line per item — number them and mark the numbers on

Table, 12 rows: No. · Item · Make & model · Asset / ID · Location · In use from

Page 2

Inspection record — what was checked, by whom, and what was recorded

Table, 21 rows: Date · Item · Asset / ID · Checked by · Result recorded · Action taken · Next check

Questions

Why does this sheet have no pass criteria or test values?

Because they are not ours to publish. What must be inspected or tested, how often, by whom and to what standard differ by country, and differ again between equipment used at home and equipment used at work. A number printed here would outlive the rule it came from.

Does filling this in mean the equipment is compliant?

No. It records what you did and when. Whether that satisfies any duty you are under is decided by the rules where you are — check them, and keep whatever documentation those rules call for alongside this register.