Title Page
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Site name
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Site number
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Customer
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Conducted on
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Prepared by
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Add signature
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Is the power on buzzbar
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Is the power on a fused spur
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Fuse board name and reference
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circuit breaker type and rating
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Fuse board location
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Loop test reading
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Photo of DB and power installed
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The information is true to the best of my knowledge. Name / Sign