Client Information

  • Document No.

  • Enter client name here.

  • Client / Site

  • Conducted on

  • Prepared by

  • Please check all applicable boxes

  • Please enter quick Job description.

  • Location
  • Is it Three phase or Single phase?

  • Overhead supply or underground supply

  • Is the underground pillar situated on this property?

  • Is the overhead supply from a western power pole or intermediate pole?

  • Please enter the meter number here

  • YOU MUST ENTER A METER NUMBER !!!!!

Final Checklist

  • Are ALL power and lighting circuits protected by at LEAST 2 RCD's

  • Have all new power points been checked and tripped by RCD tester at max 30mA?

  • If lights were installed are all lights working?

  • Have all GPO and Light switch covers been accounted for and presented to customer?

  • Has all rubbish been swept up and taken away or placed in bin?

  • Have all appliances installed been tested and are working?

  • Has the client received a safety certificate

  • Has client received final invoice

  • How would the client like to pay?

  • Please list any items that have not been completed or require a return visit.

  • Please take photo's of job before leaving. (At minimum switchboard and work completed)

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.