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Worksheet

PLC panel FAT record sheet

Page one of this two page sheet holds the job header, drawing revision, and instrument list with calibration dates, plus space for the customer’s witness name. Page two is a table of check, expected result, actual result, pass or fail and initials, grouped as visual, earth, insulation, I/O, safety and communications. Signatures close the sheet.

Name: ______________________   Business: ______________________   Date: ______________

Scroll the table sideways to see every column.

ItemWho owns itWhere it is kept todayWhat is missing

Cross out or rewrite any heading that does not fit your business. From the guide “Factory acceptance test checklist for PLC control panels”, www.gullysystem.com/blog/factory-acceptance-test-checklist-for-plc-control-panels