Title Page
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Document No.
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Microwave Emissions Testing Certificate
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Store Name
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Store No.
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Job Number
Test Equipment Details
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Test Equipment Used
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Serial Number
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Test Date
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Retest Date
Test Summary Details
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Number of Microwaves Passed
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Number of Microwaves Failed
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Asset Number and location of failed Microwave
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Please provide asset numbers and locations of all microwaves
Sign Off
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Name and Signature of Tester
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This is to certify that the Electrical Appliances detailed in the attached record sheet/s have been tested for electrical safety in accordance with the Institute of Electrical Engineers Code of Practise for In Service Inspection and Testing of Electrical Equipment. Please note that this does not guarantee the future safety of the appliances nor does it guarantee the correct operation of the equipment for any length of time. The user of the appliance should pay particular attention to any defect or fault that may occur during future use and if there is any doubt as to the safety and correct operation, the appliance should be removed from service for further inspection by a competent person.
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These records should be kept safe so that they can be produced if requested by a Health and Safety Inspector or Local Enforcement Officer when visiting the premises.