Title Page

  • Conducted on

  • Prepared by

  • TESTING COMPANY

  • NUMBER OF LIGHTING POINTS

  • TYPE OF TEST

  • TIME TEST BEGAN

  • TIME TEST FINISHED

LIGHTING POINT DETAILS

LIGHTING POINT DETAILS

    POINT
  • LIGHTING POINT NUMBER

  • LIGHTING POINT TYPE

  • IS THE LIGHTING POINT IN GOOD CONDITION?

  • LIST THE DEFECTS

  • PHOTO OF DAMAGE

  • IS THE POINT WORKING?

  • LIST DEFECT

TEST RESULTS

COMPLETION

  • DO ALL FITTINGS PASS THE TIME TEST?

  • LIST THE FITTING NUMBERS THAT FAIL.

  • Date inspection completed.

  • REC NUMBER

  • I certify that the electrical installation, to the extent that it is affected by the electrical work, has been inspected to ensure it is electrically safe and is in accordance with the requirements of AS/NZS 3000 and any other standard applying to the electrical installation under the Electrical Safety Act 1998 and the Electricity Safety (Installations) Regulations 2009

  • PERSON COMPLETING TESTS

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.