Certificate of Compliance
Name of Electrical Worker
Registration/Practising License Number
Phone/Email
Owner/Occupier's Name
General Description of Work
The following detailed information must also be provided - indicate the number or rating in each category
Lights
Socket outlets
Cooking appliances
Water heaters
Motors
Air conditioners
RCDs
Smoke Alarms
Are all the socket outlet and lighting final subcircuits of the installation are protected by at least two RCDs?
Electrical Safety Certificate
By signing this document I certify that the electrical installing work that is subject of this certificate has been completed, checked and tested , and at the time of testing, met the requirements of the regulations and is safe.
Certifier's Name
Registration/Practicing License Number
