Title Page

  • Conducted on

  • Prepared by

  • Operative Company

  • Operative Name

  • OES/Ref Number example (OCTO/0000000111)

  • MPAN

  • Date of Installation

  • Is the wiring configuration correct?

  • Please select the issue

  • CAT1 E1 Reverse Polarity

  • CAT1 E3 Reverse Flow

  • CAT1 E15 Phase rotation issue

  • Please select all that apply

  • CAT2

  • Has the engineer correctly reported any service termination issues?

  • Please select all that apply

  • CAT1

  • CAT2

  • CAT3

  • Are there any exposed conductors?

  • Please select the issue

  • CAT1 E2 Exposed Conductors (including un-plugged holes, both live and neutral and customer blocks)

  • CAT1 E2

  • Are there signs of over heating, burning or distress?

  • CAT1 E6 Signs of distress, over-heating, burning, fire etc

  • Is there inner insulation visible?

  • CAT2 E23 Single insulation visible

  • Is the cabling in a satisfactory condition

  • Please select all that apply

  • CAT1

  • CAT2

  • Is the cabling correctly marked?

  • CAT2 E29 Polarity markings and/or indicators incorrect/Tails not marked

  • Are the cables clipped/adequately supported?

  • CAT2 E25 Metering Equipment and/or cabling not securely fitted

  • Is all equipment in a satisfactory condition?

  • Please select all that apply

  • Please provide details

  • CAT1

  • CAT2

  • CAT3

  • Are all available sealing points appropriately sealed?

  • CAT2 E27 Available sealing point/s not sealed

  • Has all company waste been removed?

  • CAT3 E42 Company waste left on site

  • Is the installation tidy (cables dressed nicely etc)?

  • CAT3 E41 Untidy Installation (cables nicely dressed)

  • Has all necessary labelling been applied?

  • CAT3 E45 Metering installation notices and labelling incomplete/not applied

  • Shrouding applied correctly? (referring to the shrouding of live exposed conductors whilst conducting metering works)

  • CAT1 E13 Shrouding not applied correctly

  • Are the photographs suitable and have the required photographs been supplied?

  • CAT3 E46 Photographs missing or inadequate

  • Have you identified any other non-conformances

  • Please provide details

Sign Off & Comments

  • Audit outcome

  • CAT1 issue/s identified?

  • EC1.PNG
  • Select all that apply (include any selected earlier)

  • CAT2 issue/s identified?

  • EC2.PNG
  • Select all that apply (include any selected earlier)

  • CAT3 issue/s identified

  • EC3.PNG
  • Select all that apply (include any selected earlier)

  • Please provide details of all audit non-conformances

  • Is a revisit required for rectification and/or investigation?

  • Please provide any good feedback

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.