Information
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Job No.
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Conducted on
Customer Details
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Name
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Address
Details of Work
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Description of Work
Certification of Work
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I certify that the completed prescribed electrical work to which this certificate applies, has been done lawfully and safely at the time of completion in relation to the Electrical Safety Act, Electrical Safety Regulations, Electrical Standards AS3000:2018, and the Electrical Code of Practice.
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Installation has been satisfactorily tested in accordance with the electricity (safety) regulations.
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Electrical Testing has been completed and recorded.
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The Installation has been proven safe to energise.
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Technician Name
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Licence Number
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Signature