Title Page

  • Job number

  • Date

  • Customers Name

  • Job Location
  • Description of work carried out

  • Visual Inspection Complete

  • Operational Test

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

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