Title Page

  • Prepared by

  • Signed

  • Conducted on

  • Document Reference:

Job Details:

  • Address works conducted at:

  • Operatives Name:

  • Contractor:

  • Dates work completed:

Nature of work carried out:

  • Void

  • Upgrade

  • Rewire

  • Smoke alarm upgrade

  • Repairs

  • New Development

  • Other

Visual / Functional Inspection:

  • Location of consumer unit.

  • Photo of consumer unit (with cover)

  • Photo of consumer unit (without cover)

  • Consumer unit meets required ingress protection code for its environment?

  • Photograph

  • Are the main protective bonding conductors in place and correctly located?

  • Are all accessories in an acceptable and safe condition?

  • Are all accessories securely fixed? (e.g., socket outlets, consumer unit, light fittings and trunking)

  • Are fire rated clips installed where required?

  • Is there a circuit schedule present at the consumer unit?

  • All suitable warning labels present?

  • Solar PV warning labels correctly located? (If applicable)

  • Smoke alarms interconnected - Functional test.

  • Smoke alarms correctly located? (CO2 between 1 - 3 meter from the boiler) (If applicable to job carried out)

Certificate:

  • Has the certificate been issued?

  • Has the correct certification been issued? (e.g., minor works, Installation, fire detection & EICR)

  • Does the measured Ze value match that on the certificate?

  • Recorded Ze value: (1) measured value on certificate. (2) measured value on post inspection.

  • Does the measured PFC value match that on the certificate?

  • Recorded PFC value: (1) measured value on certificate. (2) measured value on post inspection.

  • Does the earthing system match that on the certificate?

  • Does the main earthing conductor cross sectional area match that stated on the certificate? (If applicable)

  • Does the main bonding conductor cross sectional area match that stated on the certificate? (If applicable)

Sample Testing:

  • Circuit number:

  • Circuit Details:

  • r1+r2 =

  • L-L =

  • N-N =

  • E-E =

  • Zs =

  • Points=

  • r1+r2 Recorded on certificate:

  • L-L Recorded on certificate:

  • N-N Recorded on certificate:

  • E-E Recorded on certificate:

  • Zs Recorded on certificate:

  • Points recorded on certificate:

Observations & Recommendations:

  • Has all C1's & C2's been rectified as client's instructions? (If applicable)

  • Has all C3's been rectified as client's instructions? (If applicable)

Tenant:

  • Is the property occupied?

  • Was the tenant made aware of the works completed by the electrician?

  • Is the tenant happy with the works complete? (1 =Unsatisfied / 5 = Satisfied)

  • Tenants feedback:

Summary:

  • All works carried out to a satisfactory condition?

  • Photos of works carried out:

  • Additional comments:

  • Overall score (1 - Improvements required / 10 - Excellent)

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.