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Certificate of Compliance

Electrical Worker's Details

Name of Electrical Worker

Registration/Practising License Number

Phone/Email

Owner/Occupier's Details

Owner/Occupier's Name

Installation Address
Start Date of Electrical Work
Finish Date of Electrical Work
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?

If NO, what circuits are not protected?

Details of any defects observed (alterations and additions only)

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

Certification Issue Date
Connection Date
Certifier's Signature

Electrical Certificate of Compliance (COC) Template Checklist

Created by: SafetyCulture Staff | Industry: Construction | Downloads: 130

This customizable template can be used by electrical inspection servicing companies to certify clients whose property has been proven to comply with national regulations on electrical installations. Once completed, electrical companies can share its PDF version to clients, helping them prevent accidents and/or prove their compliance to electrical safety laws.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

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Certificate of Compliance

Electrical Worker's Details

Name of Electrical Worker

Registration/Practising License Number

Phone/Email

Owner/Occupier's Details

Owner/Occupier's Name

Installation Address
Start Date of Electrical Work
Finish Date of Electrical Work
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?

If NO, what circuits are not protected?

Details of any defects observed (alterations and additions only)

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

Certification Issue Date
Connection Date
Certifier's Signature