VISIT DETAILS

  • Customer Name / Address
  • Conducted on

  • Assessor Number

  • Work Reference No.

  • Engineers Name & Pay Number

  • Date of Completion

  • Cert Received ?

  • Part P Received

ASSESSMENT REASON

  • Assessment Reason

  • Assessment Type

  • Business Stream

  • Job Type

  • EXTENT OF WORK CARRIED OUT

ELEMENTS

  • 1. Main Earth Adequate ? - Size - Connection - Label

  • 2. PEB Adequate ? - Connection - Location - Label - Verified

  • 3. SEB Adequate ? - Connection - Location - Label

  • 4. Fuse Board - Connections - Location - Labels - Fixing - IP Breachs

  • 5. Polarity Test Carried Out ?

  • 6. Work In a Special Location - RCD/RCBO Installed / Verified

  • 7. Earth Loop Impedance Test Carried Out ?

  • 8. Insulation Resistance Test Carried Out ?

  • 9. RCD / RCBO's Tested ?

  • 10. All Wiring Correctly Installed ?

  • 11. NTCS Identified & Explained To Customer ?

  • 12. Fuse Rating & Type Checked ?

  • 13. Appropriate Labels Fitted ?

  • 14. Functional Tests / Checks Carried Out ?

  • 15. Replaces All Covers & Guards , Accessories , Floorboards etc ?

  • 16. All Waste Removed & Correctly Disposed Of ?

  • 17. Customer Checklist / Minor Works Available And Completed Correctly ?

  • 18. Job Records - Electrical Safety Test Results - FSU Updated ?

READINGS TAKEN BY ASSESSOR

  • ZE READING

  • PSCFC

  • PEFC

  • ELI / Location Taken

  • RCD 1 Test Results

  • RCD 2 Test Results

  • IF RCBO's Tested / Circuit Number & Test Results

  • INSULATION RESISTANCE TEST / Circuit Number & Test Results

  • RING CONTINUITY TESTED / Circuit Number & Test Results

ELEMENT FAILURE NOTES

  • ELEMENT FAILURE NUMBER & NOTES

ELEMENT FAILURE - PICTURES

  • ELEMENT FAILURE PICTURES

COMMENTS ON WORK INSPECTED

  • COMMENTS ON WORK INSPECTED

FEEDBACK TO SM

  • FEEDBACK TO SM

FEEDBACK TO ENGINEER

  • FEEDBACK TO ENGINEER

SIGN OFF

  • INSTALLATION SATISFACTORY ?

  • IF NO - State Remedial Work Required ?

  • SIGN OFF

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.