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Electrical Safety Certificate Example

Example document for Electrical Safety Certificate. Use this as a reference when creating your own.

Professional Review Required

This document involves significant legal, financial, or compliance considerations. You must have a qualified professional review and approve this document before use. Do not rely on this template as legal advice.

Document: Electrical Safety Certificate

Example Document

Last updated 7/30/2026

ELECTRICAL SAFETY CERTIFICATE / CERTIFICATE OF COMPLIANCE

To: Sarah Jenkins 42 Wallaby Way Sydney NSW 2000

From: Volt Electrics 15 Sparky Lane Sydney NSW 2000 ABN: 12 345 678 901

Certificate Number: VE-2023-00542 Date of Issue: 25 October 2023

1. DETAILS OF ELECTRICAL WORK

Location of Work: 42 Wallaby Way, Sydney NSW 2000

Description of Work Performed: Installed a new 32A 3-phase power outlet in the rear workshop for the use of a new industrial lathe. Upgraded the main switchboard protection circuit breaker to accommodate the new load. Includes cable run from switchboard to outlet via ceiling space.

Date Work Completed: 25 October 2023

2. COMPLIANCE STATEMENT

I, John Smith, certify that:

  1. I am the holder of Electrical Licence Number 9876543.
  2. The electrical work described above has been completed in accordance with the relevant standards, specifically AS/NZS 3000:2018 Wiring Rules.
  3. All reasonable testing has been carried out to ensure the electrical installation is safe and electrically sound.
  4. The work is safe to be connected to the electricity supply and to be used.

3. TEST RESULTS (Check all that apply)

  • Continuity of conductors verified.
  • Insulation resistance tested and passed.
  • Polarity verified.
  • Earth continuity verified.
  • Earth electrode resistance tested (if applicable).
  • Residual Current Device (RCD) tested and passed.
  • Function testing of all switches and outlets passed.

4. LIMITATIONS (if any)

None. The existing switchboard main earth was checked and found to be adequate for the new load.

5. DISCLAIMER

This certificate confirms the safety of the work described at the date of issue. It does not cover pre-existing conditions or alterations made after this date by other persons.


Signature of Licensed Electrician/Contractor

Print Name: John Smith

Licence Number: 9876543

Notes

This example illustrates a completed certificate for a specific commercial upgrade. Note the detailed description of work in Section 1, which specifies the new equipment (lathe) and the type of outlet (32A 3-phase). In Section 3, all relevant tests are checked to confirm safety. The electrician has signed and printed their name and provided a valid licence number.

About this Example

Part of the Electrical Safety Certificate document collection

Document Type

Electrical Safety Certificate

A formal document issued by a licensed electrician to verify that electrical work completed on a property meets Australian safety standards and regulations.

Complexity

moderate

Risk Level

high