Information

  • Insert Property Address:

  • Client / Site

  • Conducted on

  • Prepared by

Quality Assurance Form

17th Edition Compliance Checks

  • ALL DETAILS BELOW MUST BE COMPLETED IN FULL AND ACCURATE

  • DPI Switch Installed @ Incoming Supply?

  • Main Earth

  • MAIN EARTH NOT COMPLIANT PLEASE REPLACE

  • MAIN EARTH NOT COMPLIANT PLEASE REPLACE

  • COMPLIANT

  • Main Water Bond

  • NOT COMPLIANT PLEASE REPLACE

  • COMPLIANT

  • Main Gas Bond

  • NOT COMPLIANT PLEASE REPLACE

  • COMPLIANT

WORKS TO BE COMPLETED

  • Are there any additional works required?

  • Additional Works
  • Additional Works

  • Image of additional works

  • Would any additional comments be helpful?

  • Comments:

DECLARATION

  • I can confirm the works noted above are a true reflection of required works.

  • Inspection Completed By:

Customer Satisfaction Form

CUSTOMER DECLARATION

  • To be completed with the tenant present:

  • Did The Engineer Arrive On Time?

  • Was The Engineer Polite And Helpful?

  • Was The Engineer Smart And Presentable?

  • Has the engineer explained what works are required and why?

  • CUSTOMER DETAILS:

  • Customer Name:

  • Address:

  • Please Sign Below:
    Please Confirm The Fridge/Freezer Have Been Reconnected And Are Fully Functional -Corsan (Northern) Ltd Take NO Responsibility For The Fridge/Freezer.
    In The Absence Of The Occupant The Installing Engineer And The Supervisor Must Confirm The Fridge /Freezer Are Connected And Working.

  • Customer:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.