Title Page
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Address
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Date
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Tenant Name
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Tenant Number
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Tested By
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Type of Test
- Electrical
- Smoke Alarms
- Electrical and Smoke Alarm
Testing
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Consumer Mains
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Main Earth Continuity
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Fault Loop
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Insulation Resistance
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Polarity
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Operation of RCD
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FAILED RCD 1 Trip
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FAILED RCD 2 Trip
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FAILED RCD 3 Trip
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FAILED RCD 4 Trip
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FAILED RCD 5 Trip
VISUAL INSPECTION AND OPERATION OF ELECTRICAL EQUIPMENT
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Switchboard
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Entry
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Master Bedroom
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Ensuite
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Bedroom 1
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Bedroom 2
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Bedroom 3
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Bedroom 4
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Bathroom 1
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Toilet
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Garage
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Study
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Lounge
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Living
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Laundry
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Kitchen
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Pantry
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External
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Alfresco
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Recommendation
SMOKE ALARMS
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Number of Smoke Alarms
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Location
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is Smoke Alarm more than 10 years old?
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Under Residential Tenancies Regulations 2021, smoke alarms will need to be replaced every 10 years.
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Push Button Test
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Smoke Spray
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Recommendation
Safety Inspection Result
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Overall Result