ELECTRICAL SAFETY CERTIFICATE / CERTIFICATE OF COMPLIANCE

To: [CLIENT NAME] [CLIENT ADDRESS] [SUBURB] [STATE] [POSTCODE]

From: [ELECTRICIAN NAME / CONTRACTOR NAME] [TRADING NAME] [BUSINESS ADDRESS] [ABN]

Certificate Number: [UNIQUE CERTIFICATE NUMBER] Date of Issue: [DATE]

1. DETAILS OF ELECTRICAL WORK

Location of Work: [SITE ADDRESS]

Description of Work Performed: [Detailed description of the electrical installation, alteration, or repair. Include specific rooms, equipment, and the nature of the work.]

Date Work Completed: [DATE]

2. COMPLIANCE STATEMENT

I, [ELECTRICIAN NAME], certify that:

1. I am the holder of Electrical Licence Number [LICENCE NUMBER].
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)

[Any limitations to the scope of work or areas not tested must be listed here. If none, write 'None'.]

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.

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Signature of Licensed Electrician/Contractor

Print Name: [PRINTED NAME]

Licence Number: [LICENCE NUMBER]