Title Page

  • Job Number

  • Site Address

  • Conducted on

  • Installed by

  • Lockbox works completed?

  • Please provide details

  • Please provide photos of the lockbox after complete works. (Please show cabinet and link cables)

  • Has the socket been installed?

  • Please provide details

  • Please provide photos of the VM socket installed.

  • Was the socket tested?

  • Please provide details

  • Please provide pictures of the test on meter screen.

  • Test Notes

  • By signing the below, I confirm the work has been carried out to a satisfactory standard.

  • Residents Name

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.