Electrical Safety Checks Form Please enable JavaScript in your browser to complete this form. - Step 1 of 15ClientAddressDatePhoto of PropertyNextProperty Supply TypeN/AUndergroundOverheadOverhead ConnectionN/ACompliantFaultOverhead Connection Fault DescriptionSwitchboard External PhotoSwitchboard Internal PhotoWould you like to add a switchboard thermal image?N/AYESNOSwitchboard Thermal PhotoAre all light and power circuits protected by safety switches?N/AYESNOAre holes filled with fire rated silicone?N/AYESNOIs the MEN connection compliant?N/AYESNOSwitchboard Terminal TensionN/AALL CONNECTIONS TIGHTREQUIRED TIGHTENINGSupply and Switchboard Compliance *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTSwitchboard CommentsPreviousNextTest Equipment UsedN/AFluke 1664-fcFluke 787OtherLast Calibration DateSafety Switches InstalledSelectYesNoSafety Switch 1 DetailsSafety Switch 1 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 1 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 1 - Trip Test 1x 0deg (ms)Safety Switch 1 - Trip Test 1x 180deg (ms)Safety Switch 1 - Trip Test 5x 0deg (ms)Safety Switch 1 - Trip Test 5x 180deg (ms)Safety Switch 1 - Current Trip (mA) 0degSafety Switch 1 - Current Trip (mA) 180degAdd Safety Switch 2SelectYesSafety Switch 2 DetailsSafety Switch 2 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 2 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 2 - Trip Test 1x 0deg (ms)Safety Switch 2 - Trip Test 1x 180deg (ms)Safety Switch 2 - Trip Test 5x 0deg (ms)Safety Switch 2 - Trip Test 5x 180deg (ms)Safety Switch 2 - Current Trip (mA) 0degSafety Switch 2 - Current Trip (mA) 180degAdd Safety Switch 3SelectYesSafety Switch 3 DetailsSafety Switch 3 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 3 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 3 - Trip Test 1x 0deg (ms)Safety Switch 3 - Trip Test 1x 180deg (ms)Safety Switch 3 - Trip Test 5x 0deg (ms)Safety Switch 3 - Trip Test 5x 180deg (ms)Safety Switch 3 - Current Trip (mA) 0degSafety Switch 3 - Current Trip (mA) 180degAdd Safety Switch 4SelectYesSafety Switch 4 DetailsSafety Switch 4 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 4 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 4 - Trip Test 1x 0deg (ms)Safety Switch 4 - Trip Test 1x 180deg (ms)Safety Switch 4 - Trip Test 5x 0deg (ms)Safety Switch 4 - Trip Test 5x 180deg (ms)Safety Switch 4 - Current Trip (mA) 0degSafety Switch 4 - Current Trip (mA) 180degAdd Safety Switch 5SelectYesSafety Switch 5 DetailsSafety Switch 5 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 5 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 5 - Trip Test 1x 0deg (ms)Safety Switch 5 - Trip Test 1x 180deg (ms)Safety Switch 5 - Trip Test 5x 0deg (ms)Safety Switch 5 - Trip Test 5x 180deg (ms)Safety Switch 5 - Current Trip (mA) 0degSafety Switch 5 - Current Trip (mA) 180degAdd Safety Switch 6SelectYesSafety Switch 6 DetailsSafety Switch 6 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 6 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 6 - Trip Test 1x 0deg (ms)Safety Switch 6 - Trip Test 1x 180deg (ms)Safety Switch 6 - Trip Test 5x 0deg (ms)Safety Switch 6 - Trip Test 5x 180deg (ms)Safety Switch 6 - Current Trip (mA) 0degSafety Switch 6 - Current Trip (mA) 180degAdd Safety Switch 7SelectYesSafety Switch 7 DetailsSafety Switch 7 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 7 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 7 - Trip Test 1x 0deg (ms)Safety Switch 7 - Trip Test 1x 180deg (ms)Safety Switch 7 - Trip Test 5x 0deg (ms)Safety Switch 7 - Trip Test 5x 180deg (ms)Safety Switch 7 - Current Trip (mA) 0degSafety Switch 7 - Current Trip (mA) 180degAdd Safety Switch 8SelectYesSafety Switch 8 DetailsSafety Switch 8 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 8 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 8 - Trip Test 1x 0deg (ms)Safety Switch 8 - Trip Test 1x 180deg (ms)Safety Switch 8 - Trip Test 5x 0deg (ms)Safety Switch 8 - Trip Test 5x 180deg (ms)Safety Switch 8 - Current Trip (mA) 0degSafety Switch 8 - Current Trip (mA) 180degAdd Safety Switch 9SelectYesSafety Switch 9 DetailsSafety Switch 9 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 9 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 9 - Trip Test 1x 0deg (ms)Safety Switch 9 - Trip Test 1x 180deg (ms)Safety Switch 9 - Trip Test 5x 0deg (ms)Safety Switch 9 - Trip Test 5x 180deg (ms)Safety Switch 9 - Current Trip (mA) 0degSafety Switch 9 - Current Trip (mA) 180degAdd Safety Switch 10SelectYesSafety Switch 10 DetailsSafety Switch 10 - Trip Test 1/2x 0deg (ms)N/APASSFAILSafety Switch 10 - Trip Test 1/2x 180deg (ms)N/APASSFAILSafety Switch 10 - Trip Test 1x 0deg (ms)Safety Switch 10 - Trip Test 1x 180deg (ms)Safety Switch 10 - Trip Test 5x 0deg (ms)Safety Switch 10 - Trip Test 5x 180deg (ms)Safety Switch 10 - Current Trip (mA) 0degSafety Switch 10 - Current Trip (mA) 180degSafety Switches Compliant *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTSafety Switch CommentsPreviousNextMain Earth TypeN/AEXPOSED EARTH RODBURIED DIRECTEQUIPOTENTIAL BONDPhoto of Earth RodIs The Main Earth The Correct Size?N/AYESNOIs the Main Earth connected correctly?N/AYESNOMain Earth Result (ohm)Switchboard Earth Result (ohm)Earth Impedance - Circuit 1 typeCircuit 1 Impedance Results (ohm)Add Earth Impedance C2SelectYesEarth Impedance - Circuit 2 typeCircuit 2 Impedance Results (ohm)Add Earth Impedance C3SelectYesEarth Impedance - Circuit 3 typeCircuit 3 Impedance Results (ohm)Add Earth Impedance C4SelectYesEarth Impedance - Circuit 4 typeCircuit 4 Impedance Results (ohm)Add Earth Impedance C5SelectYesEarth Impedance - Circuit 5 typeCircuit 5 Impedance Results (ohm)Add Earth Impedance C6SelectYesEarth Impedance - Circuit 6 typeCircuit 6 Impedance Results (ohm)Add Earth Impedance C7SelectYesEarth Impedance - Circuit 7 typeCircuit 7 Impedance Results (ohm)Add Earth Impedance C8SelectYesEarth Impedance - Circuit 8 typeCircuit 8 Impedance Results (ohm)Add Earth Impedance C9SelectYesEarth Impedance - Circuit 9 typeCircuit 9 Impedance Results (ohm)Add Earth Impedance C10SelectYesEarth Impedance - Circuit 10 typeCircuit 10 Impedance Results (ohm)Earthing Compliant *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTEarth Impedance CommentsPreviousNextPolarity of Outlets CheckedSelectN/AYESNONumber of Power Points Inspected12345678910111213141516171819202122232425Polarity Compliant *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTPolarity CommentsPreviousNextLight Photo #1Add another light photo?N/AYESNOLight Photo #2Add another light photo?N/AYESNOLight Photo #3Light Switches InspectedN/ANO FAULTS FOUNDFAULTS IDENTIFIEDLighting Compliance *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTLights CommentsPreviousNextGas/Electric Hot Water SystemSelect typeGASELECTRICHot Water System DetailsHot Water System PhotoAdd HWS photoSelectYESNOHot Water System Photo 2Hot Water Service Earth Test ResultHot Water Compliance *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTHot Water System CommentsPreviousNextGas/Electric OvenSelect TypeGASELECTRICOven PhotoAdd Oven Data PlateSelectYESNOOven Data PlateOven DetailsOven Earth Test ResultOven Compliance *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTOven CommentsPreviousNextGas/Electric CooktopSelect TypeGASELECTRICCooktop PhotoAdd Cooktop PhotoSelectYESNOCooktop Photo 2Cooktop DetailsCooktop Earth Test ResultCooktop Compliance *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTCooktop CommentsPreviousNextRangehood InstalledSelect TypeN/AYESNORangehood PhotoLight WorkingSelect TypeN/AYESNOFan and fan speeds workingSelect TypeN/AYESNORangehood Earth Test ResultRangehood Compliance *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTRangehood CommentsPreviousNextDishwasher InstalledSelect TypeN/AYESNODishwasher PhotoDishwasher Earth Test ResultDishwasher Compliance *N/ACOMPLIANTNON CRITICAL FAULTCRITICAL FAULTDishwasher General ConditionPreviousNextAir Conditioners Installed012345Air Conditioner 1 DetailsAir Conditioner 1 Indoor/Outdoor Unit Working WellSelect TypeN/AYESNOAir Conditioner 1 Filters CleanSelect TypeN/AYESNOAir Conditioner 2 DetailsAir Conditioner 2 Indoor/Outdoor Unit Working WellSelect TypeN/AYESNOAir Conditioner 2 Filters CleanSelect TypeN/AYESNOAir Conditioner 3 DetailsAir Conditioner 3 Indoor/Outdoor Unit Working WellSelect TypeN/AYESNOAir Conditioner 3 Filters CleanSelect TypeN/AYESNOAir Conditioner 4 DetailsAir Conditioner 4 Indoor/Outdoor Unit Working WellSelect TypeN/AYESNOAir Conditioner 4 Filters CleanSelect TypeN/AYESNOAir Conditioner 5 DetailsAir Conditioner 5 Indoor/Outdoor Unit Working WellSelect TypeN/AYESNOAir Conditioner 5 Filters CleanSelect TypeN/AYESNOAir Conditioner CommentsPreviousNextWere there any corrective actions completed on the day?Please selectNOYESCorrective actions completed on the dayCompleted actions photo 1Description of completed action 1Add Completed Action 2SelectYESCompleted actions photo 2Description of completed action 2Add Completed Action 3SelectYESCompleted actions photo 3Description of completed action 3Add Completed Action 4SelectYESCompleted actions photo 4Description of completed action 4PreviousNextWere there any outstanding corrective actions?Please selectNOYESCorrective actions to quoteAdd photo of corrective action 1Add description of corrective action 1Add Outstanding Action 2SelectYesAdd photo of corrective action 2Add description of corrective action 2Add Outstanding Action 3SelectYesAdd photo of corrective action 3Add description of corrective action 3Add Outstanding Action 4SelectYesAdd photo of corrective action 4Add description of corrective action 4Add Outstanding Action 5SelectYesAdd photo of corrective action 5Add description of corrective action 5Add Outstanding Action 6SelectYesAdd photo of corrective action 6Add description of corrective action 6Add Outstanding Action 7SelectYesAdd photo of corrective action 7Add description of corrective action 7Add Outstanding Action 8SelectYesAdd photo of corrective action 8Add description of corrective action 8PreviousNextInspector DetailsNameLicense NumberOverall PASS/FAILSelectPASSNON CRITICAL FAULTCRITICAL FAULTNext Test DueSignatureClear SignatureFinish
