Title Page
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Site conducted
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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. Photos
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Add media
B. 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, "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.
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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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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 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.
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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)
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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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Electric water heater
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Air conditioners
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Space heaters
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Cooking equipment
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Dishwasher
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Exhaust fans
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Ceiling fans
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Washing machine/dryer
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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
D. Safety check - verified by testing
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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
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Consumers 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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Vehicle chargers
Earth continuity testing
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Mains earth conductor
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Switchboard 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 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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Vehicle chargers
RCD (residual-current device/safety switch) testing
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Power circuits
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Lighting circuits
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Other
E. 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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Next smoke alarm check is:
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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
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The following observations and recommendations are made:
G. Electrical Safety Check Certification
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Electrical safety check completed by:
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License/REC:
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Next inspection due by:
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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.
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