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ELECTRICAL INSTALLATION AUDIT – REPORT

Reference No: ELECTRICAL INSTALLATION AUDIT REPORT Page 1 of 9 Latest issue: December 2020 DETAILSC ustomer: Status: Address: Phone: Home: Mobile: B. ADDRESS OF THE INSTALLATION TO BE AUDITEDA ddress: estimated age (years ): Estimated age of the ELECTRICAL INSTALLATION (years): Evidence of alterations or additions: Date of previous AUDIT : (if any) C. PURPOSE OF THE REPORTP urpose for which this REPORT is requested: D. EXTENT OF THE INSTALLATION AND LIMITATIONS OF THE INSPECTION AND TESTINGE xtent of the ELECTRICAL INSTALLATION and agreed limitations, if any, on the inspection and testing: Additional comments: Phone: , b eing the person responsible for the AUDIT of t he ELECTRICAL INSTALLATION (as indicated by my signature below), particulars of w hich are described abov e (se e B), havi ng exercised reasonable skill and car e when carrying out the AUDIT , hereby declare that the information in this REPORT , including the observations (s ee G), provides an accurate assessment of t he condition of the ELECTRICAL INSTALLATION taking into

F. INSPECTION, TESTING AND ASSESSMENT BY: Name: Company Licence number: Date of audit: This electrical installation audit report is not a substitute for a Certificate of Electrical Safety and cannot be relied on as part of

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  Report, Installation, Electrical, Audit, Electrical installation audit report

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