Information
ELECTRICAL SAFETY REPORT
DISCLAIMER
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INTECHSYS and its employees engaged in examining or testing the installation accept no responsibility should any disconnected circuits be reconnected or for any loss or damage indirectly or directly arising from any defects which are hidden or cannot be detected by INTECHSYS through various tests outlined or as a result of the visual inspection of any circuitry or appliance which is either partially of wholly, hidden, concealed or cannot be detected due to obstruction by, including but not limited to, by walls, ceilings, floors or other, nor for any loss or damage directly or indirectly arising from any defect in an earth termination point which is obscured or which of necessity is buried in the ground. INTECHSYS and its servants or agents and the Association accept no responsibility for any direct or indirect loss or damage whatsoever and howsoever arising, in relation to or as a result of any changes, additions, alterations or deletions or other works performed upon the installation made subsequent to INTECHSYS examination.
ELECTRICAL SAFETY REPORT
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Customer:
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Customer Address:
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Address of electrical installation inspected/ examined (insert as above required)
TYPE OF SERVICE PERFORMED: (tick as appropriate)
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Visual safety examination / inspection
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Complete electrical test
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Partial visual examination or electrical test (List areas inspected)
DETAILS OF DEFECTS FOUND:
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The following defects should be rectified by a licensed electrical contractor to ensure compliance with Electrical Legislation and relevant Australian Standards:
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The following defects are considered dangerous and should be immediately rectified or approval should be given to INTECHSYS to disconnect the defect. INTECHSYS cannot disconnect any portion of the electrical installation with the permission of the customer:
INTECHSYS
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Unit 2/1027 Manly Road
TINGALPA QLD 4173 -
Licence Number: 42741
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Phone: (07) 3348 9462
ELECTRICAL WORKER IN CHARGE
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Name:
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Signature:
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Licence Number:
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Date:
