Electrical Certificate of Compliance (COC) Template

• Date of Issue

  Date

• Client Name

• Location
  Address

• Reference/Certificate ID No.

Electrical Worker's Details

• Name of Electrical Worker

• Registration/Practising License Number

• Phone/Email

Owner/Occupier's Details

• Owner/Occupier's Name

• Installation Address
  Address

• Start Date of Electrical Work

  Date

• Finish Date of Electrical Work

  Date

Details of Work Completed

• 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

Details of RCD Protection

• Are all the socket outlet and lighting final subcircuits of the installation are protected by at least two RCDs?

  Yes

  No

  N/A

• If NO, what circuits are not protected?

  Yes

  No

  N/A

• Yes

  No

  N/A

Details of any defects observed (alterations and additions only)

• Yes

  No

  N/A

• 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

• Certification Issue Date

  Date

• Connection Date

  Date

• Certifier's Signature

  Sign