ELECTRICAL INSTALLATION AUDIT – REPORT

1 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.

2 , 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 account the stated extent of the AUDIT and the limitations of t he visual inspection and testing (see D).

3 I further declare that in my judgment, the condition of the said INSTALLATION was at the time the AUDIT was carried out. This does not preclude the possibility that other defects may exist. , TESTING AND ASSESSMENT BY:Name:CompanyLicence 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 certification of a Certificate of ELECTRICAL Safety. See page 9 for customer No: ELECTRICAL INSTALLATION AUDIT REPORT Page 2 of 9 Latest issue: December 2020 G.

4 OBSERVATIONS AND RECOMMENDATIONS FOR ANY ACTIONS TO BE TAKENThe following observations and recommendations are made: Reference No: ELECTRICAL INSTALLATION AUDIT REPORT Page 3 of 9 Latest issue: December 2020 PART 1 - SUPPLY AND SWITCHBOARD A: Supply Mains A1. Power company equipment B4. Circuit interconnection (crossed wiring) Adequate and satisfactory Adequate and satisfactory Attention recommended See below Attention recommended See below UNSAFE Urgent action required See below UNSAFE Urgent action required See below A2 Consumers mains Phases 1 2 3 B5.

5 Circuit protection (Sizes) Adequate and satisfactory Adequate and satisfactory Attention recommended See below Attention recommended See below UNSAFE Urgent action required See below UNSAFE Urgent action required See below A3. Meter enclosureB6. Main Earth Adequate and satisfactory Satisfactory Attention recommended See below Attention recommended See below UNSAFE Urgent action required See below UNSAFE Urgent action required See below B: Switchboard B1. Location and Accessibility B6.

6 Main Earth Adequate and satisfactory Adequate and satisfactory Attention recommended See below Attention recommended See below UNSAFE Urgent action required See below UNSAFE Urgent action required See below B2. Fire resistance B7. Safety Switch/esAdequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below Installed on all Socket outlet circuits Installed on all lighting circuits Installed on all fixed equipment circuitsOther: Comments: Item No. Item No.

7 Item No. Item No. Item No. Item No. Item No. B3. Switchboard EnclosureAdequate and satisfactory Attention recommended See below UNSAFE Urgent action required See belowB8. Safety Switch/esAdequate and satisfactory Attention recommended See below UNSAFE Urgent action required See belowNot installedReference No: ELECTRICAL INSTALLATION AUDIT REPORT PART 2 - Distribution boardsC1: Supply Submain Phases 1 2 3C6. Circuit interconnection (crossed wiring) Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below C2 Switchboard C7.

8 Circuit protection (Sizes)Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below Adequate and satisfactory Attention recommended See belowUNSAFE Urgent action required See below C3. Switchboard Enclosure C8. Earthing System Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below Installed on all Socket outlet circuits Installed on all lighting circuits Installed on all fixed equipment circuits Other: C4.

9 Fire resistanceC11. Other:Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See belowC5. Location and AccessibilityAdequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See below Comments: Item N o . Item No.

10 Item No. Item No. Item No . Item No. Item No . Page 4 of 9 Latest issue: December 2020 C10. Safety Switch/esC9. Safety switchesNot installedC12. Other:Adequate and satisfactory Attention recommended See below UNSAFE Urgent action required See belowAdequate and satisfactory Attention recommended See below UNSAFE Urgent action required See belowReference No: ELECTRICAL INSTALLATION AUDIT REPORT Page 5 of 9 Latest issue: December 2020 PART 3 - WIRING AND ACCESSORIES F: Wiring F1. Power Circuits F7.