Title Page
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This electrical safety check is for electrical safety purposes only and is in accordance with requirements of the Residential Tenancies Regulations 2021 and is prepared in accordance with section 2 of the Australian/New Zealand Standard AS/NZS 3019, Electrical installation - Periodic verification to confirm that the installation is not damaged or has not deteriorated so as to impair electrical safety; and to identify installation defects and departures from the requirements that may give rise to danger.
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Installation address:
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Date of previous safety check: (if any)
A. Location of existing installations
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Details of those parts of the installation and limitations of the safety check covered by this certificate, "Yes" parts of the installation that is included in the safety check - "N/A" parts of the installation if not included in the safety check - add additional information if required.
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Main earth system
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Kitchen
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Bathroom (main)
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Other bathrooms/ensuites
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Bedroom (main)
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Other bedrooms
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Living room
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Other living areas
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Laundry
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Garage
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Electric water heater
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Dishwasher
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Electric room/space heaters
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Solar/battery system
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Swimming pool/equipment
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Vehicle chargers
B. Safety check - verified by visual & Testing
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As far as practical a VISUAL INSPECTION AND TESTING of the following items has been carried out as per the requirements of section 3 and 4 of the Australian/New Zealand Standard AS/NZS 3019:2007 Electrical installations - Periodic Verification: "Compliant" parts of the installation that is included in the safety check - "N/A" parts of the installation if not included in the safety check - add additional information if required.
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Consumers mains
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Switchboards
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Exposed earth electrode
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Metallic water pipe bond
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RCDs (safety switches) & push button test
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Circuit protection (circuit breakers/fuses)
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Socket-outlets
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Light fittings
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Switches
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Electric water heater
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Air conditioners
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Space heaters
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Cooking equipments
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Dishwasher
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Exhaust fans
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Ceiling fans
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Installation wiring
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Solar and other renewable systems
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Swimming pool equipment
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Vehicle chargers
C. Smoke Alarms
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All smoke alarms are correctly installed and in working condition; and have been tested according to the manufacturer's instructions?
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All smoke alarms must be tested according to the manufacturer's instructions at least once every 12 months.
D. Electrical Safety Check Certification
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Electrical safety check completed by:
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Inspection conducted on
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License/REC:
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I the above named license electrician have carried out an electrical safety check of this residential tenancies per the requirements of Residential Tenancies Regulations 2021 and set out in the Australian/New Zealand Standard AS/NZS 3019, "Electrical installations - Periodic verification, and have recorded my observations and recommendations.
