Store/Project Details

  • Store Number - Store Name

  • Prepared by

  • Project Name

  • Location
  • Take image of front of store

Electrical Survey

Scope of Works

  • Please take a photo of the "To Be" drawing

  • Is the scope of works available?

  • Please give reason

  • Can the Electrical Survey be carried out without a scope of works?

  • Please give reason

  • Please take photos of distribution QR /Bar Codes and any relevant photos

Distribution Boards

  • Please locate and identify distribution board/s to be utilised on this project, using the QR/Barcodes available.

  • What is the make (manufacture's name) of the distribution board?

  • Please take a clear, in focus and close up photo of the whole front of this distribution board

  • What is this distribution board's name/reference?

  • Please take a clear, in focus and close up photo of this distribution board's name/reference

  • Please take clear, in focus and close up individual photos of the QR Code and/or Barcode on the front of this distribution board

  • Please take a clear, in focus and close up photo of the Circuit Protection Devices used within distribution board

  • Please describe in detail the location within the store of this distribution board

  • Please take a photo of this distribution board's location within the store

  • Is there more than one distribution board to be utilised?

  • What is the make (manufacture's name) of the distribution board?

  • Please take a clear, in focus and close up photo of the whole front of this distribution board

  • What is this distribution board's name/reference?

  • Please take a clear, in focus and close up photo of this distribution board's name/reference

  • Please take clear, in focus and close up individual photos of the QR Code and/or Barcode on the front of this distribution board

  • Please take a clear, in focus and close up photo of the Circuit Protection Devices used within distribution board

  • Please describe in detail the location within the store of this distribution board

  • Please take a photo of this distribution board's location within the store

Materials

  • Identify cable routes with existing and new containment if required

  • Materials and quantities required?

  • Mark up cable runs on drawing and take photo of drawing

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.