Information
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Mr. Electric Home Safety Check-Up Report Name:
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Client Name:
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Conducted on
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Location
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Present at inspection:
- Owner
- Tenant
- Owner representative
- Other
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Prepared by
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Document No.
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Notes:
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Mr. Electric Home Safety Check-Up
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Main meter panel has correct overhead clearance.
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Point-of-access connections are encased & protected.
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Additional protection needed for point-of-access connections.
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Main meter panel, breakers & fused disconnect are wired correctly & in operating condition.
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Issues are present in the main panel, please address immediately.
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Grounding system meets code requirements.
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Defects were noted in grounding system. We recommend immediate attention for safety reasons.
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AFCI (arc flash circuit interrupter) protection throughout home.
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Recommend installing AFCI protection for additional safety in home.
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GFCI (ground fault current interrupter) protection throughout home.
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Recommend GFCI protection in all locations near water for safety reasons
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Locations needing GFCI protection:
- bathroom(s)
- kitchen
- garage
- exterior
- bar sink
- pool/spa light
- hydrotherapy tub
- laundry sink area
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Electric to HVAC (heating, ventilating & air conditioning) is in operating condition.
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The following conditions were noted:
- Fusing and/or wiring is inappropriately sized
- Different type fuses installed
- electrical wiring and/or conduit shows damage
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Smoke detectors & carbon monoxide detectors are installed & working. If over 10 years old, recommend replacement.
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Recommendation:
- Install carbon monoxide detectors
- Install smoke detectors on each level as needed
- Battery at smoke detector appears to be missing or in need of replacement
- Smoke detectors are inappropriately located
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Proper surge protection to help prevent major damage to the home, garage and business electrical system, appliances and computer.
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Electrical system for outdoor pool, spa, sauna, sprinkler system, lighting and receptacles are in operating condition.
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Accessible Kitchen receptacles are in operating condition.
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Adequate safety and security lighting.
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Lighting fixtures are in operating condition.
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Exhaust fans are in operating condition.
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Laundry area electrical system is in operating condition.
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I understand that this Safety Check-up is performed with the intent to expose all electrical challenges but by no means carries any guarantee. Neither Mr. Electric nor any representative associated with Mr. Electric, nor the Service Professional performing the Safety Check-up shall be liable for any damages which may arise from the Safety Check-up but shall be sole responsibility of the property owner.
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Clients signature: