Fillable Record Of Inspection Roi Of High Risk Prescribed Electrical Work (Ministry of Business, Innovation and Employment New Zealand)

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Record Of Inspection Roi Of High Risk Prescribed Electrical Work (Ministry of Business, Innovation and Employment New Zealand)

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Record of Inspection (RoI) – Version: May 2014
RECORD OF INSPECTION (ROI) OF HIGH-RISK PRESCRIBED ELECTRICAL WORK
PURSUANT TO THE ELECTRICITY (SAFETY) REGULATIONS 2010
Reference/Record ID Number:
Issuer (Inspector) details:
Name of Inspector:
Registration #:
Email address:
Telephone:
Location of installation:
Location details:
Location type: Domestic Non-Domestic Accommodation Industrial Commercial
Educational Healthcare Miscellaneous (other)
Certifying Electrical Work and Certificate of Compliance (CoC) details:
Name of Electrical
worker(s):
Registration #:
CoC details:
CoC(s) attached
Certifying Electrical Work and RoI details:
What was inspected:
Specify the regulation(s) and companion standard(s), or identify the certified design, followed when carrying out the inspection:
What are the results of the inspection:
High Risk Category:
Not to AS/NZS 3000 Part 2 – 6A(2)(a)(i) Photovoltaic system – 6A(2)(a)(iv) Electrical medical area – 6A(2)(a)(vi)
High voltage installation – 6A(2)(a)(ii) Hazardous area – 6A(2)(a)(v) Mains work – 6A(2)(b)
Mains parallel generation – 6A(2)(a)(iii) Animal stunning or meat conditioning – 6A(2)(c)
Other – please describe:
Declaration
I hereby confirm that the work described above has been done accordance with the regulations; and the
on which the work has been done is, and will , when enlivened, electrically safe.
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Record Of Inspection Roi Of High Risk Prescribed Electrical Work (Ministry of Business, Innovation and Employment New Zealand)

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Completed 1 March 2021

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