Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
A&J Electrical Services Job Sheet. E.C.N.- 9009
ABN-28 474 378 319. ACN- 010 831 188. PO Box 6383, Upper Mt Gravatt, 4122.
Ph- 38495387. Fax- 38495484. Email- enquiries@aandjelectrical.com.au
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Has the Risk Assessment Form been completed and forwarded on to Office?
Job Number:
Job Date
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Select date
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Job Complete ?
Customer Name
Customer Address
Customer Phone Number & Email
Job Address
Job Description
Sketches of Work Carried Out
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Add drawing
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Add media
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Add media
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Add media
Materials Used
Materials Used
Electrical Worker # 1
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Electrical Worker # 1
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Start Time
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Finish Time
Electrical Worker # 2
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Electrical Worker # 2
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Start Time
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Finish Time
Electrical Worker # 3
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Electrical Worker # 3
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Start Time
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Finish Time
Additional Worker(s)
I Agree that the electrical work was performed at the above address and accept responsibility for the payment of work. I acknowledge that all parts remain the property of A&J Electrical Services until full payment has been completed. Settlement regarding purchase or transfer of this property was prior to 1/9/2002. I understand if this is not true,I maybe held liable for action to be taken
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Customer's Signiture
I certify that the electrical installation,to the extent it is affected by the electrical work,has been tested to ensure it is electrically safe and is in accordance with the requirements of the wiring rules and any other standard applying to the electrical installation under the Electrical Safety Regulation 2002.
I certify that the cabling work provided,complies with the Australian Communication Industry Wiring Rules technical standard AS/ACIF S009:2001
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Worker's Signiture
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Have the Electrical Test Results been recorded and forwarded on to Office?
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M.E.N. checked and proof of testing noted on the switchboard.
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Safety Switches Tested
Additional Information
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Add drawing
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Photographic Information
