Electrical Safety Check

Welcome to a Emerald Building Services's electrical register. Please complete this form to ensure the safety of the site electrical box has been verified.

What Emerald Building Services site are you working on?

First Name

Last Name

Mobile Number

Email Address

Date of Test

Date of Next Test

Company Name

Comment

Upload a Photo of your Electrical License

An Electrical License is required for all electrical work done on site.

I do not have my Electrical License on me and agree to submit it when BuilderShield follows me up.

Upload a Photo of the Site Electrical Box

Please take a photo of the sites electrical box

I cannot take a photo of the electrical box at this time and agree to submit it when BuilderShield follows me up.

Has the current test and tag been issued? Yes, the current test and tag has been issued

Have all RCD results been kept within accordance with AS3000? Yes, the results are kept in accordance with AS3000

Has the builder been made aware of the completed test and tag? Yes, I have made the builder aware or authorised represnetative aware of the test results

Do you consent to the processing and storage of your data?

By completing and submitting the Site Induction form, you confirm that all information provided is accurate and up-to-date. BuilderShield is not liable for any inaccuracies or omissions. and you agree for BuilderShield to process and store your data on behalf of Emerald Building Services and agree to the Privacy Policy.

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