ࡱ> CEB Mbjbj 42#)87lf~~~].~~~~~666~^6~666@|m606-r-6-6P~~6~~~~~6~~~~~~~-~~~~~~~~~ : տƵ Electrical Safety Testing Documentation Equipment Tested: Device Name:_________________________________________________________________________ Device Description/Function:_____________________________________________________________ Manufacturer:______________________________ Date of Manufacture (if available):________________ Serial Number:_____________________________ Model Number:_______________________________ Asset Tag Number/MU Serial Number (if applicable):__________________________ Date of previous test:____________________________ Results of previous test (select one): PASS FAIL Date of current test:______________________________ Physical Inspection: (+ = acceptable, - = not acceptable, NA = not applicable) ___General condition ___Line cord and plug ___Controls ___Connectors ___Operation ___Other (please list):_____________________________________________________________________________ Ground Leakage Currents: GroundedOpen GroundEquipment PowerNormal PolarityOpen NeutralNormal PolarityOpen NeutralReverse PolarityACOFFONDCOFFON*Depending on the device, additional information may be required Final Result (select one): PASS FAIL Testing Device: Device Name:______________________________ Device Description/Type:_________________________________ Manufacturer:______________________________ Date of Manufacture (if available):______________________ Last Calibration Date:_______________________________ Equipment tested by: Full name (please print):____________________________________________________________________ Signature:__________________________________________________________Date:__________________________ Credentials/qualifications (i.e. BS, MS, PhD, special training, etc.)____________________________________________ Comments:________________________________________________________________________________________ __________________________________________________________________________________________________     տƵIRB DRAFT 2009 <=MNOp - a o   $ C N V [ h i v ;xpxppp^x"h3h(5>*CJOJQJaJhq>OJQJh(h(OJQJh(hw2OJQJh(h;OJQJh3OJQJh(h.OJQJ"h3h.5>*CJOJQJaJh35>*CJOJQJaJ"h3h;5>*CJOJQJaJhq>hrG5CJOJQJaJhq>h.5CJOJQJaJ=OP  b c w x n o d$Ifgdq> dgd.$a$gd.   . 4 5 7 C K X ` yqfT"h3h35>*CJOJQJaJh(hq>OJQJhq>OJQJh3hq>5OJQJh3hw2CJOJQJaJh3h(CJOJQJaJhq>hw2OJQJ"h3hw25>*CJOJQJaJh3h(>*CJOJQJaJh3OJQJh3h(5OJQJh(h(OJQJh3h(5CJOJQJaJ     & 3 C P a ckd$$IflFV ;%  # t06    44 laytq>d$Ifgdq> a b e %d$Ifgdq>kd$$Ifl֞V y;%aaaaaaa t0644 laytq>e i j k l m n d$Ifgdq>n o p #d$Ifgdq>kdH$$Ifl4֞V y;%`aaaaaaa t0644 laytq>p s t u v w x d$Ifgdq>x y | #d$Ifgdq>kd$$Ifl4֞V y;% aaaaaaa t0644 laytq>| d$Ifgdq> #d$Ifgdq>kd$$Ifl4֞V y;%`aaaaaaa t0644 laytq> d$Ifgdq> # dgd.kdg$$Ifl4֞V y;% aaaaaaa t0644 laytq> q r %&\]#%&() dgdw2 dgd( dgd.  h j p q %&z/Q[]"#$&')*,-/IJKLMȼhph.h.OJQJh.OJQJh)Tjh)TUh(hw25OJQJ"h3hw25>*CJOJQJaJh3OJQJh(OJQJh(h(OJQJh(hw2OJQJ+)+,./JKLM$a$gd. dgd.21h:p./ =!"#$% $$If!vh5 5 5##v #v#:V l t065 5#ytq>$$If!vh5a5a5a5a5a5a5a#va:V l t065aytq>$$If!vh5a5a5a5a5a5a5a#va:V l4 t06+5aytq>$$If!vh5a5a5a5a5a5a5a#va:V l4 t06+5aytq>$$If!vh5a5a5a5a5a5a5a#va:V l4 t06+5aytq>$$If!vh5a5a5a5a5a5a5a#va:V l4 t06+5aytq>j 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH J`J rGNormal dCJ_HaJmH sH tH DA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List >> .0Header H$d.. .0 Header Char> @> .0Footer H$d.!. .0 Footer Chart3t w2 Table Grid7:V0 dRBR q>0 Balloon Text dCJOJQJ^JaJNQN q>0Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] M2 (((+ M  a e n p x | )M 8@0(  B S  ?"##%%&&()+,./KN[]pr"$~/eg##%%&&()+,./KN333333333333MNp?CNV[hiv  6qrz//Q[\"##%%&&()+,.IN q>.w2cFrGcR)T(ph/;3#%@M@UnknownG* Times New Roman5Symbol3. * Arial7.{ @Calibri5. *aTahomaA BCambria Math"1hԦԦI҆66!n02QHX $P.2!xx  Oh+'0t  $ 0 < HT\dl Normal 2Microsoft Office Word@F#@vL=@6m@6m6՜.+,0 hp  տƵ  Title  !#$%&'()*+,-./013456789;<=>?@ADRoot Entry F0 mFData 1Table"-WordDocument42SummaryInformation(2DocumentSummaryInformation8:CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q