Project Name	[Project name]	Inspection Checklist Earthing
Project Number	[Project number]
Client	[Client name]	WBS ID	[WBS ID]	Date	[Date]
Client’s Repres.	[Client representative name]
Contractor	[Contractor name]	Reference Doc	[Drawing etc. against which is inspected]
ITR No.	[Checklist to be attached to ITR no. …]
Location	[Area]
Item	Work Executor	Contractor	Remarks
Checked (initials & Date)	Hold Point	Inspected (initials & Date)
1.0 Prior Installation
1.1 Material approved	W H
1.2 Material inspected upon delivery	W H
1.3 Material free of damage	W H
2.0 During Installation
2.1 Installation following correct methodology & plan	W H
2.2 Connections executed correct & firmly	W H
3.0 After Installation
3.1 Test equipment calibrated	W H
3.2 Resistivity checked and noted	W H
Earthing Point	Continuity Test Result	Date	Remarks	Earthing Point	Continuity Test Result	Date	Remarks
01	08
02	09
03	10
04	11
05	12
06	13
07	14
Work Executor	Contractor Acceptance	Client Acceptance
Name	Name	Name
Signature	Signature	Signature
Date	Date	Date