Information

  • Job No.

  • Conducted on

Customer Details

  • Name

  • Address

Details of Work

  • Description of Work

Certification of Work

  • 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.

  • Installation has been satisfactorily tested in accordance with the electricity (safety) regulations.

  • Electrical Testing has been completed and recorded.

  • The Installation has been proven safe to energise.

  • Technician Name

  • Licence Number

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.