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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.

  • Installation address:

  • Date of previous safety check: (if any)

A. Photos

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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 - "N/A" parts of the installation if not included in the safety check - add additional information if required.

  • Main earth system

  • Kitchen

  • Bathroom (main)

  • Other bathrooms/ensuites

  • Bedroom (main)

  • Other bedrooms

  • Living room

  • Other living areas

  • Laundry

  • Garage

  • Solar/battery system

  • Electric water heater

  • Dishwasher

  • Electric room/space heaters

  • Swimming pool/equipment

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 - "N/A" parts of the installation if not included in the safety check - add additional information if required.

  • Consumers mains

  • Switchboards

  • Exposed earth electrode

  • Metallic water pipe bond

  • RCDs (safety switches)

  • Circuit protection (circuit breakers/fuses)

  • Socket-outlets

  • Light fittings

  • Electric water heater

  • Air conditioners

  • Space heaters

  • Cooking equipment

  • Dishwasher

  • Exhaust fans

  • Ceiling fans

  • Washing machine/dryer

  • Installation wiring

  • Solar and other renewable systems

  • Swimming pool equipment

  • Vehicle chargers

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 - "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

  • Circuit protection (circuit breakers/fuses)

  • RCDs (safety switches)

  • Socket-outlets

  • Light fittings

  • Electric water heater

  • Air conditioners

  • Cooking equipment

  • Dishwasher

  • Solar and other renewable systems

  • Swimming pool equipment

  • Vehicle chargers

Earth continuity testing

  • Mains earth conductor

  • Switchboard enclosure

  • Metallic water pipe bond

  • Socket-outlets

  • Light fittings

  • Exhaust fans

  • Ceiling fans

  • Electric water heater

  • Air conditioners

  • Cooking equipment

  • Dishwasher

  • Solar and other renewable systems

  • Swimming pool equipment

  • Vehicle chargers

RCD (residual-current device/safety switch) testing

  • Power circuits

  • Lighting circuits

  • Other

E. Smoke Alarms

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

  • Next smoke alarm check is:

  • 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.

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