Work Details
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Customer Name
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Customer Phone
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Installation Location
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Certificate Number
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Work Description
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Supporting Documents
- Test Sheets
- Other (Please Specify)
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Other Supporting Documents
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Earth Continuity
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Earth Continuity Results
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Earth Resistance
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Earth Resistance Results
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Polarity
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Insulation Resistance
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Insulation Resistance Result
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Earth Fault Loop Impedance
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Earth Fault Loop Impedance Results
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If part of, itemise what part of the installation is covered by this certificate
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I am satisfied the work detailed in this Electrical Safety Certificate and the installation (or part installation) to which it relates is connected to a power supply and is safe to use. The work described above was connected by:
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Registration Number
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Date
