Title Page
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Site conducted
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Conducted on
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Prepared by
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Is Property Compliant?
EXTENT OF THE INSTALLATION AND LIMITATIONS OF THE<br>INSPECTION AND TESTING
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Main switchboard:
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Main earthing system:
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Kitchen:
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Bathroom (main):
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Other bathrooms/ensuites:
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Bedroom (main):
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Other bedrooms:
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Living room:
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Other living areas:
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Laundry:
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Garage:
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Solar/battery system:
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Electric water heater:
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Dishwasher:
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Electric room/space heaters:
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Swimming pool equipment
SAFETY CHECK - VERIFIED BY VISUAL INSPECTION
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Consumers mains:
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Switchboards:
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Exposed earth electrode:
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Metallic water pipe bond:
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RCDs (Safety switches):
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Circuit protection (circuit breakers / fuses):
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Socket-Outlets:
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Light fittings:
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Electric water heater:
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Air conditioners:
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Space heaters:
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Cooking equipment:
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Dishwasher:
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Exhaust fans:
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Celling fans:
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Washing machine/dryer:
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Installation wiring:
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Solar and other renewable systems:
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Swimming pool equipment:
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Vehicle chargers:
Polarity and correct connections testing
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Consumers mains:
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Circuit protection (circuit breakers / fuses):
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RCDs (Safety switches):
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Socket-outlets:
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Light fittings:
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Electric water heater:
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Air conditioners:
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Cooking equipment:
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Dishwasher:
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Solar and other renewable systems:
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Swimming pool equipment:
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Vehicle chargers:
Earth continuity testing
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Mains earth conductor:
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Switchboards enclosure:
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Metallic water pipe bond:
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Socket-Outlets:
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Light fittings:
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Exhaust fans:
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Celling fans:
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Electric water heater:
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Air conditioners:
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Cooking equipment:
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Dishwasher:
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Solar and other renewable systems:
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Swimming pool equipment:
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Vehicle chargers:
RCD (residual-current device /safety switch) testing
- Circuit
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Push Button Test
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Timed Test
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Comments:
Smoke Alarms
- Smoke Alarm
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Correctly installed and in working condition; and have been tested according to the<br>manufacturer's instructions.
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Expiry Date
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Comments
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Next smoke alarms check is due by:
OBSERVATIONS AND RECOMMENDATIONS FOR ANY<br>ACTIONS TO BE TAKEN.
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The following observations and recommendations are made:
Electrical Safety Check Certification:
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Next inspection due by:
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Add signature
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I the above named licenced electrician have carried out an electrical safety check of this
residential tenancies per the requirements of the Residential Tenancies Regulations 2021
and set out in the Australian/New Zealand Standard AS/NZS 3019, "Electrical
installations—Periodic verification, and have recorded my observations and
recommendations. -
REC 35214
