Title Page
-
Site conducted
undefined
-
-
Conducted on
-
Prepared by
-
Location
Untitled Page
A. INSTALLATION ADDRESS
-
Address
-
Date of previous Safety Check: (if any)
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 Tick those parts of the installation included in the safety check – strike out those parts of the installation if not applicable – mark NI if not included in the safety check – add additional information if required
- Main switchboard
- Main earthing 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 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 NI 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
- Celling fans
- Washing machine/dryer
- Installation wiring
- Installation wiring
- Swimming pool equipment
- Vehicle chargers
D. SAFETY CHECK - VERIFIED BY TESTING
-
As far as practicable TESTING of the following items has been carried out per the requirements of 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 NI 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
- Circuit protection (circuit breakers / fuses)
- 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
- Switchboards enclosure
- Metallic water pipe bond
- Socket-outlets
- Light fittings
- Exhaust fans
- Celling 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
-
Circuit protected
-
Power outlets
-
Power outlets
-
Power outlets
-
Lighting
-
Lighting
-
Other
E. SMOKE ALARMS
-
All smoke alarm are correctly installed and in working condition; and have been tested according to the manufacturer's instructions.
-
Next smoke alarms check is due by
-
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
-
F. OBSERVATIONS AND RECOMMENDATIONS FOR ANY ACTIONS TO BE TAKEN
F. ELECTRICAL SAFETY CHECK CERTIFICATION
-
Electrical Safety check completed by
-
Licence/ registration number
-
Inspection date
-
Next inspection due by
-
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.
-
Sign
