Title Page
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This electrical safety check is for electrical safety purposes only and is in accordance with the 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 installations—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.
Details
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Client
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Installation address
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Date
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Date of previous check (if any)
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Conducted by
EXTENT OF THE INSTALLATION AND LIMITATIONS OF THE INSPECTION AND TESTING
EXTENT OF THE INSTALLATION AND LIMITATIONS OF THE INSPECTION AND TESTING
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Details of those parts of the installation and limitations of the safety check covered by this certificate Tick those parts of the installation included information if required
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Main Switchboard
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Main earthing system
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Kitchen
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Bathroom (main)
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Other bathrooms/ensuites
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Bedroom (master)
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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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Solar/battery system
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Electric water heater
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Dishwasher
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Electric room/space heaters
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Swimming pool equipment
C. SAFETY CHECK - VERIFIED BY VISUAL INSPECTION
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As far as practicable a VISUAL INSPECTION of the following items has been carried out per the requirements of section 3 and 4 of the Australian/New Zealand Standard AS/NZS 3019:2007 Electrical installations—Periodic Verification: strike out those parts of the installation if not applicable – mark NA if not included in the safety check – add additional information if required.
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Consumer 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)
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Circuit protection (circuit breakers/fuses)
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Socket out-lets
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Light fittings
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Electric water heater
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Air conditioners
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Cooking equiptment
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Dishwasher
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Solar and other renewable systems
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Swimming pool equipment
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Electric vehicle chargers
D.SAFETY CHECK - VERIFIED BY TESTING
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As far as practicable a VISUAL INSPECTION of the following items has been carried out per the requirements of section 3 and 4 of the Australian/New Zealand Standard AS/NZS 3019:2007 Electrical installations—Periodic Verification: strike out those parts of the installation if not applicable – mark NA if not included in the safety check – add additional information if required.
Polarity and correct connections testing
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Consumer mains
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Circuit protection (circuit breakers/fuses)
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RCDs (safety switches)
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Socket-outlets
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Light fittings
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Electric water heater
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Air Conditioners
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Cooking equipment
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Dishwasher
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Solar and other renewable systems
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Swimming pool equipment
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Electric vehicle chargers
Earth continuity testing
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Mains earth conductor
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Switchboards enclosure
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Metallic water pipe bond
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Socket-outlets
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Light fittings
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Exhaust fans
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Ceiling fans
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Electric water heater
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Air conditioners
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Cooking equiptment
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Dishwasher
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Solar Solar and other renewable systems
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Swimming pool equipment
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Electric vehicle chargers
RCD (residual-current device /safety switch) push button and time testing
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Power outlets
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Power outlets
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Power outlets
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Power outlets
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Lighting
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Lighting
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Cooktop
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Over
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Air conditioner
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Other
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What type of circuit
E. Smoke Alarms
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Correctly installed and in working condition
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Tested using test smoke
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All smoke alarms must be tested according to the manufacturer's instructions at least once every 12 months
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Next smoke alarm check is due by
F. OBSERVATIONS AND RECOMMENDATIONS FOR ANY ACTIONS TO BE TAKEN
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The following observations and recommendations are made:
F. Electrical Safety Check Certification
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Electrical safety check completed by
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Electrical Licence/registration number
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Next inspection due by
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I the above named licenced electrician have carried out an electrical safety check of this residential tenancies per the requirements of the 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.
