MCD Electrical Job Sheet

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

MCD Electrical Job Sheet.

JSA/Take 5

• Has a JSA/Take 5 been completed ?

  Yes

  No

  N/A

Job Date

• Select date

  Date

• Job Complete ?

  Yes

  No

  N/A

Customer Name

Customer Address

Customer Phone Number & Email

Job Description

Sketches of Work Carried Out

• Add drawing

  Drawing

• Add media

  Media

Materials Used

Electrical Worker # 1

• Electrical Worker # 1

  Kane McDonald

  Quentin Hallett

• Start Time

  Date

• Finish Time

  Date

Electrical Worker # 2

• Electrical Worker # 2

  Kane McDonald

  Quentin Hallett

• Start Time

  Date

• Finish Time

  Date

Electrical Worker # 3

• Electrical Worker # 3

  Kane McDonald

  Quentin Hallett

• Start Time

  Date

• Finish Time

  Date

Additional Worker(s)

I Agree that the electrical work was performed at the above address. I acknowledge that all parts remain the property of MCD Electrical until full payment has been made.

• Customer's Signiture

  Sign

I certify that the electrical installation,to the extent it is affected by the electrical work,has been tested to ensure it is electrically safe and is in accordance with the requirements of the wiring rules and any other standard applying to the electrical installation under the Electrical Safety Regulation 2002.

I certify that the cabling work provided,complies with the Australian Communication Industry Wiring Rules technical standard AS/ACIF S009:2001

• Worker's Signiture

  Sign

• Have the Electrical Test Results been recorded and forwarded on to Office?

  Yes

  No

  N/A

• Safety Switches Tested

  Yes

  No

  N/A

• Has the area been left clean and tidy

  Yes

  No

  N/A

Additional Information

• Add drawing

  Drawing

• Photographic Information

  Media