Shane Geddis

Electrical Safety Certificate (ESC)

Electrical Safety Certificate

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Title Page

This Electrical Safety Certificate provides a legally recognisable statement that the connected Installation or part Installation, or any fitting that supplies an Installation or a Part of an Installation, is safe to use following Prescribed Electrical Work

Document No.
Reference/Certificate ID No
Contact Details ( Client/Site Name )
Location Details: ( Client/Site Address )
Certificate Issue Date
Certifier's Name

Authentication Mark

Details of Work

The Whole Installation/Part of the Installation
Description of Work
Date of Connection
Add media

Declaration: I certify that the Installation, or Part of the Installation, to which the Electical Safety Certificate applies is connected to a power supply is safe to use

Shane Geddis

Electrical Safety Certificate (ESC)

Electrical Safety Certificate

Use this Template

Print as PDF

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