JDE Electrical Non Electrical Work

• Job number

• Date

  Date

• Customers Name

• Job Location
  Address

• Description of work carried out

• Visual Inspection Complete

  Yes

  No

• Operational Test

  Yes

  No

  N/A

I certify that the electrical installation,to the extent that is effected by the electrical work,has been tested to ensure it is electrically safe and is accordance with the requirements of the wiring rules and any other standard applying to the electrical installation under state legislation.

• Tested by Signature

  Sign