Information
-
-
Mr. Electric Home Safety Check-Up Report Name:
-
Client Name:
-
Conducted on
-
Location
-
Present at inspection:
- Owner
- Tenant
- Owner representative
- Other
-
Prepared by
-
Document No.
-
Notes:
-
Does the customer authorize the service professional to perform the home safety inspection?
-
Add signature
-
-
Mr. Electric Home Safety Check-Up
-
Earthing System
-
Number of Phases?
-
Lighting Circuits
-
Socket Outlet Circuits
-
Cooker Circuit
-
Immersion Heater Circuit
-
Shower Circuit
-
Heater Circuit
-
Supplies to Equipment Outdoors
-
Outside / Security Lighting
-
Fixed Wiring ( where visible)
-
Condition of Wiring
-
Satisfactory Test Operation of RCD
-
Fuses and MCBs
-
Supplementary Bonding
-
Earthing Baths and Shower Rooms
-
Consumer Unit Condition
-
Meter Tails
-
Earthing Conductor
-
Bonding Conductors
-
Circuit Protective Devices
-
Devices for Electric Shock Protection
-
Smoke, Fire and Carbon Dioxide Alarms
-
Emergency and Exit Signage Adequacy and Function
-
Security Lighting
-
Energy Efficiency of Lighting
-
Adequacy and Safety of External Power Supplies
-
Proper Surge Protection
-
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.
-
Clients signature:
