Domestic Fuse Board Inspection

• Document No.

• Audit Title

• Client / Site

• Prepared by

• Carried Out By Corsan Northern Ltd

DETAILS

• Date of Inspection

  Date
• Address
  Address

INSPECTION

• Are there signs of overheating?

  Safe

  At Risk

  N/A

• Please confirm all connections are tight and secure

  Safe

  At Risk

  N/A

• Image of Fuse Board (Internal Only)

  Media

• Is the Fuse Board safe to continue using?

  Safe

  At Risk

  N/A

DECLARATION

• The fuse board at the above address has been inspected and check using a torque screw driver. I can confirm it is safe and has now signs of overheating.

• Print & Sign:

  Sign