Electrical Safety Check - Report

• 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.

• Installation address:

• Date of previous safety check: (if any)

  Date

A. Photos

• Add media

  Media

B. Extent of the installation and limitations of the inspection and testing

• 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 - "No" parts of the installation if not accessible - "N/A" parts of the installation if not included in the safety check - add additional information if required.

• Main earth system

  Yes

  No

  N/A

• Kitchen

  Yes

  No

  N/A

• Bathroom (main)

  Yes

  No

  N/A

• Other bathrooms/ensuites

  Yes

  No

  N/A

• Bedroom (main)

  Yes

  No

  N/A

• Other bedrooms

  Yes

  No

  N/A

• Living room

  Yes

  No

  N/A

• Other living areas

  Yes

  No

  N/A

• Laundry

  Yes

  No

  N/A

• Garage

  Yes

  No

  N/A

• Solar/battery system

  Yes

  No

  N/A

• Electric water heater

  Yes

  No

  N/A

• Dishwasher

  Yes

  No

  N/A

• Electric room/space heaters

  Yes

  No

  N/A

• Swimming pool/equipment

  Yes

  No

  N/A

C. Safety check - verified by visual inspection

• As far as practical a VISUAL INSPECTION 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: "Yes" parts of the installation that is included in the safety check - "No" parts of the installation if not accessible - "N/A" parts of the installation if not included in the safety check - add additional information if required.

• Consumers mains

  Yes

  No

  N/A

• Switchboards

  Yes

  No

  N/A

• Exposed earth electrode

  Yes

  No

  N/A

• Metallic water pipe bond

  Yes

  No

  N/A

• RCDs (safety switches)

  Yes

  No

  N/A

• Circuit protection (circuit breakers/fuses)

  Yes

  No

  N/A

• Socket-outlets

  Yes

  No

  N/A

• Light fittings

  Yes

  No

  N/A

• Electric water heater

  Yes

  No

  N/A

• Air conditioners

  Yes

  No

  N/A

• Space heaters

  Yes

  No

  N/A

• Cooking equipment

  Yes

  No

  N/A

• Dishwasher

  Yes

  No

  N/A

• Exhaust fans

  Yes

  No

  N/A

• Ceiling fans

  Yes

  No

  N/A

• Washing machine/dryer

  Yes

  No

  N/A

• Installation wiring

  Yes

  No

  N/A

• Solar and other renewable systems

  Yes

  No

  N/A

• Swimming pool equipment

  Yes

  No

  N/A

• Vehicle chargers

  Yes

  No

  N/A

D. Safety check - verified by testing

• As far as practicable TESTING of the following items has been carried out as per the requirements of 4 of the Australian/New Zealand Standard AS/NZS 3019:2007 Electrical installations - Periodic Verification:"Yes" parts of the installation that is included in the safety check - "No" parts of the installation if not accessible - "N/A" parts of the installation if not included in the safety check - add additional information if required.

Polarity and correct connections testing

• Consumers mains

  Yes

  No

  N/A

• Circuit protection (circuit breakers/fuses)

  Yes

  No

  N/A

• RCDs (safety switches)

  Yes

  No

  N/A

• Socket-outlets

  Yes

  No

  N/A

• Light fittings

  Yes

  No

  N/A

• Electric water heater

  Yes

  No

  N/A

• Air conditioners

  Yes

  No

  N/A

• Cooking equipment

  Yes

  No

  N/A

• Dishwasher

  Yes

  No

  N/A

• Solar and other renewable systems

  Yes

  No

  N/A

• Swimming pool equipment

  Yes

  No

  N/A

• Vehicle chargers

  Yes

  No

  N/A

Earth continuity testing

• Mains earth conductor

  Yes

  No

  N/A

• Switchboard enclosure

  Yes

  No

  N/A

• Metallic water pipe bond

  Yes

  No

  N/A

• Socket-outlets

  Yes

  No

  N/A

• Light fittings

  Yes

  No

  N/A

• Exhaust fans

  Yes

  No

  N/A

• Ceiling fans

  Yes

  No

  N/A

• Electric water heater

  Yes

  No

  N/A

• Air conditioners

  Yes

  No

  N/A

• Cooking equipment

  Yes

  No

  N/A

• Dishwasher

  Yes

  No

  N/A

• Solar and other renewable systems

  Yes

  No

  N/A

• Swimming pool equipment

  Yes

  No

  N/A

• Vehicle chargers

  Yes

  No

  N/A

RCD (residual-current device/safety switch) testing

• Power circuits

  Yes

  No

  N/A

• Lighting circuits

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

E. Smoke Alarms

• All smoke alarms are correctly installed and in working condition; and have been tested according to the manufacturer's instructions?

  Yes

  No

  N/A

• Next smoke alarm check is:

  Date

• All smoke alarms must be tested according to the manufacturer's instructions at least once every 12 months.

F. Observations and recommendations for any actions to be taken

• The following observations and recommendations are made:

G. Electrical Safety Check Certification

• Electrical safety check completed by:

• License/REC:

• Next inspection due by:

• 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.

  Sign

• Select date

  Date