Title Page
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Housing Authority Work Order Number
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Complex Address
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Conducted on
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All replacement of light fittings, lamps, cabling and all electrical components must be recorded.
Location of Lamps to be replaced
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Outside Unit/s
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Driveway
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Common Area (e.g Stairways, free standing carports)
Location of replaced Light Fittings
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Outside Unit/s
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Driveway
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Common Area (eg. Stairways, free standing carports)
Location of replaced Cabling
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Outside Unit/s
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Driveway
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Common Area (eg. Stairways, free standing carports)
Location of replaced electrical components
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PE Cell
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Ballast
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Contractor/switchgear
Sign Off
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Additional Comments
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Electrical Contractor Name
