AWX-DOMESTIC HOUSEHOLD CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Tenant:

• Address:

• Tested By:

• Date and Time:

  Date

1. Visual Inspection:

• Main Connection Box:

• Incoming distributers supply cables clear of trees/obstructions correct height

• Size of consumers mains:

• Inspect main earth electrode:

• Inspect and exposed wiring system:

• Inspect clearances for electrical equipment in wet reas:

• Inspect conductors in switch board:

• Inspect Hot Water system:

• - Isolate supply by removing supply authorities fuses, if no available then isolate main switch at board and lock out and apply danger tag.
  - remove meter and escutcheon panel

2. Earthing Continuity Test (must be below .5Ω):

• Remove Men link:

  Yes

  No

  N/A

• Test main earth conductor to Electrode:

  Yes

  No

  N/A

• Test all equipotential bonds:

  Yes

  No

  N/A

• Switchboards/Sub Boards

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

• Photo

  Media

• Metering

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

  Select Single Multi H/W

  • Single
  • Multi
  • H/W

• Photo

  Media

• Number of Safety Switches

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

  Select Lighting Power Other

  • Lighting
  • Power
  • Other

• Photo

  Media

• Lighting Circuits

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

  Select No of circuits No of Points

  • No of circuits
  • No of Points

• Photo

  Media

• Power Circuits

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

  Select No of circuits No of Points

  • No of circuits
  • No of Points

• Photo

  Media

• Number of Ceiling Fans

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

• Photo

  Media

• Number of fixed Appliances

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

• Photo

  Media

• General Wiring

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

• Photo

  Media

• Swimming Pool/Spa/Sauna

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

• Photo

  Media

• Earthing System

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

• Photo

  Media

• Number of Smoke Detectors

  Select In Order(tick) Defective (tick) Unable to Ascertain (tick)

  • In Order(tick)
  • Defective (tick)
  • Unable to Ascertain (tick)

• DETAILS OF DEFECTS FOUND:

• Photo

  Media

• The following serious defects which could cause fire, shock of personal injury were found in the installation. In the interests of safety: (¡) these defects have been disconnected from supply with the tenents knowledge; of (¡¡) the Electricity Supply Entity has been notified: of (¡¡¡) we recommend immediate action by AWX to rectify the problem; (¡v) the fault has been made

• Signature

  Sign

• Date

  Date