About this page: The report below is an illustrative sample. The facility, technician and device data are invented to show the format. It is not a real test result. Your technician's report will follow their own layout, but it should contain every element shown here.
When a Life Safety Code surveyor reviews your patient care-related electrical equipment (PCREE), they are not looking at your equipment. They are looking at your paper. A facility with perfectly safe beds and lifts can still be cited if the records do not show what was tested, how, when, by whom, and what happened to anything that failed. This page shows what a complete, survey-ready PCREE test report looks like, so you know what to expect from a technician and what to ask for if your current vendor's paperwork falls short.
Sample PCREE Test Report
Patient Care-Related Electrical Equipment (PCREE) Test Report
Tested per NFPA 99 (2012), Chapter 10 · Report #2026-0417
| Facility | Sample Oaks Health & Rehabilitation (100 beds) · Anytown, USA |
| Test date(s) | April 13–16, 2026 (two technicians) |
| Technician | J. Sample and R. Example · training and experience documentation attached (Appendix B) |
| Test instrument | Electrical safety analyzer, S/N 0099-123 · calibration current, due 01/2027 (certificate in Appendix C) |
| Scope | All PCREE in resident rooms and nursing stations per facility inventory (412 devices) |
| Asset ID | Device | Location | Mfr / Model | Serial | Ground resistance (Ω, limit 0.50) | Chassis leakage (µA, limit 100) | Result |
|---|---|---|---|---|---|---|---|
| PC-0141 | Hospital bed (electric) | Rm 112 | Mfr A / Model 800 | SN-55120 | 0.12 | 38 | Pass |
| PC-0142 | Patient lift (battery charger) | Rm 112 | Mfr B / Model L4 | SN-20981 | 0.09 | 22 | Pass |
| PC-0157 | Vital signs monitor | Nurse stn 1 | Mfr C / Model VS3 | SN-77310 | 0.07 | 15 | Pass |
| PC-0163 | Oxygen concentrator | Rm 118 | Mfr D / Model 5L | SN-40455 | 0.21 | 61 | Pass |
| PC-0170 | Infusion pump | Rm 121 | Mfr E / Model IP2 | SN-18832 | 0.05 | 9 | Pass |
| PC-0188 | Hospital bed (electric) | Rm 126 | Mfr A / Model 800 | SN-55377 | 0.74 | 41 | FAIL – removed from service, tagged |
Excerpt: 6 of 412 devices shown. Visual/physical integrity inspection (cord, plug, strain relief, housing) performed on every device.
| Summary | 412 tested · 409 pass · 3 fail (removed from service and tagged; see Corrective Action Log) |
| Corrective action (excerpt) | PC-0188: ground resistance 0.74 Ω (power cord damaged). Cord replaced 04/16/2026 and device re-tested: 0.11 Ω, Pass. Returned to service. |
| Not located | 2 devices on inventory not found (listed in Appendix D for facility follow-up) |
| Sign-off | Technician signature and date · Facility representative signature and date |
The 8 Elements Every PCREE Report Needs
- Facility name, address and test dates. Surveyors check that testing falls within your required interval.
- Who did the testing. The technician's name and documentation of their training and experience. Keep it with the report, not in someone's email.
- What they tested with. The safety analyzer's serial number and proof its calibration was current on the test date.
- Device-level results. One line per device with asset ID, location, make/model and serial number, so a surveyor can pick any bed in the building and find its record.
- Actual measured values, not just "pass." Ground resistance and leakage current readings next to the limits used.
- Physical inspection. Confirmation that cords, plugs, strain relief and housings were inspected.
- What happened to failures. Each failed device marked removed from service, repaired and re-tested before going back on the floor. This is the most commonly missing piece. See post-repair testing requirements.
- Signatures. Technician and facility sign-off, dated.
What's in Your Documentation Package
When you request PCREE testing through PCREE Test, ask the technician to deliver a package that you can drop straight into your Life Safety Code binder:
- The full device-level test report (all devices, not a summary)
- The technician's qualification documentation (training and experience)
- The test instrument's current calibration certificate
- A corrective action log for every device that failed, with re-test results
- A list of inventory items that could not be located, so your team can close the gap
- The technician's certificate of insurance on request. Technicians in our network are required to carry liability insurance.
Not sure your last vendor's report holds up? Compare it against the elements above, or use our guide to reading a PCREE test report and the free survey-readiness checklist.
Want a report like this for your facility, with a free quote first?
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NFPA 99 ground resistance and leakage limits, when to test, and what every test record must show, on one page.
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About the Author
PCREE Test Editorial Team
Content reviewed by biomedical professionals with experience in patient care electrical equipment testing, NFPA 99 compliance, and CMS Life Safety survey preparation for skilled nursing facilities.