Title Page
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Conducted on
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Prepared by
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Location
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ZONE AREA
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Next Due
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TESTING IS TO BE COMPLETED IN ACCORDANCE WITH AS/NZS 3760:2010 AND AS/NZS 3012:2019
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ELECTRICAL ITEMSR
ITEM
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EQUIPMENT NAME
- 3 PHASE LEAD
- AIR CONDITIONER
- APPLIANCE CHARGER
- APPLIANCE LEAD
- BATTERY CHARGER
- BENCH GRINDER
- BWU
- COFFEE MACHINE
- COMPRESSOR
- DRILL
- DROP SAW
- EXHAUST FAN
- EXTENTION LEAD
- FESTOON LIGHT
- FREEZER
- FRIDGE
- FUEL POD PUMP
- GRINDER
- HAMMER DRILL
- HEAT GUN
- HEATER
- HEATER FAN
- HWS
- ICE MAKER
- IMPACT DRILL
- JIGSAW
- KETTLE
- LAMINATOR
- LEAD LIGHT
- LIGHT STAND
- LINK LIGHT
- LINK LIGHT LEAD
- MASERATOR
- MICROWAVE
- MIXER
- MIXER
- MONITOR
- PARTS WASHER
- PIE WARMER
- POWER BOARD
- POWER SAW
- POWER SUPPLY
- PRESSURE WASHER
- PRINTER
- PROJECTOR
- RATTLE GUN
- RCD BOX
- SANDER
- SANDWICH PRESS
- SOUND BAR
- SPINEFEX LEAD
- TELEVISION
- TOASTER
- VACUUM
- WATER COOLER
- WATER COOLER
- WATER PUMP
- WELDER
- BAR CUTTER
- HAIR DRYER
- HAIR STRAIGHTENER
- SCABBLER
- NOT LISTED, ITEM IN NOTES.
- BAND SAW
- CIRCULAR SAW
- DREMIEL
- VENDING MACHINE
- HAND DRYER
- RADIO
- MONITOR
- AIR FRYER
- SLOW COOKER
- BLOWER
- ORBITAL SANDER
- PIPE THREADER
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PHOTO OF EQUIPMENT
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VISUAL INSPECTION CORRECT? (IF NO LIST EQUIPMENT NAME/NUMBER IN NOTES)
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INSULATION RESISTANCE TEST >1MΩ (IF FAIL LIST EQUIPMENT NAME/NUMBER IN NOTES)
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EARTH CONTINUITY CHECK < 1Ω (IF FAIL LIST EQUIPMENT NAME/NUMBER IN NOTES)
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POLARITY CORRECT? (IF FAIL LIST EQUIPMENT NAME/NUMBER IN NOTES)
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TAG NUMBER
COMPLETION
COMPLETION
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Date inspection completed.
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REC NUMBER
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I certify that the electrical installation, to the extent that it is affected by the electrical work, has been inspected to ensure it is electrically safe and is in accordance with the requirements of AS/NZS 3000 and any other standard applying to the electrical installation under the Electrical Safety Act 1998 and the Electricity Safety (Installations) Regulations 2009
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PERSON COMPLETING TESTS
