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Electrical Thermal Imaging Report

Certified Thermal Electrician™

Company Name

Phone

Address

Website

Report ID:

Report Date:

Client Name

Site Address

Site Contact

Contact Phone / Email

Inspection Date

Inspection Time

System / Area Inspected

Work Order / Reference

Certified Thermal Electrician Name

Certificate / ID Number

Thermal Camera Model

Camera Serial Number

Emissivity Setting

Typical Distance to Targets

Ambient Temperature (°C / °F)

Relative Humidity (%)

Estimated Load on Circuits

Additional Conditions Notes

Use one finding section for each notable condition (anomaly, hot connection, overload, imbalance, etc.).

Certified Thermal Electrician Signature / Date

Client Representative Signature / Date