Title Page

  • Site name

  • Site number

  • Customer

  • Conducted on

  • Prepared by

  • Add signature

  • Is the power on buzzbar

  • Is the power on a fused spur

  • Fuse board name and reference

  • circuit breaker type and rating

  • Fuse board location

  • Loop test reading

  • Photo of DB and power installed

  • The information is true to the best of my knowledge. Name / Sign

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.