Fillable WKS 14 Energy Safety Electrical Safety Certificate (Ministry of Business, Innovation and Employment New Zealand)

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WKS 14 Energy Safety Electrical Safety Certificate (Ministry of Business, Innovation and Employment New Zealand)

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The WKS 14 Energy Safety Electrical Safety Certificate (Ministry of Business, Innovation and Employment New Zealand) form is 1 page long and contains:

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  • 2 check-boxes
  • 10 other fields

Country of origin: NEW-ZEALAND
File type: PDF

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ContactDetails:
(Nameandaddress)
Detailsofwork: Thewholeinstallation Partoftheinstallation
CUSTOMERCOPY–THISISANIMPORTANTDOCUMENTAND
SHOULDBERETAINEDFORAMINIMUMOF7YEARS


ELECTRICALSAFETYCERTIFICATE
REFERENCE/CERTIFICATEIDNO.:

ThisElectricalSafetyCertificateprovidesalegallyrecognisablestatementthattheconnected
installationorpartinstallation,oranyfittingthatsuppliesaninstallationorapartofaninstallation,
issafetousefollowingprescribedelectricalwork.
LocationDetails:
Descriptionof
work:
Dateof
connection:
By signing this document I certify that the installation, or part of the installation, to which the Electrical
SafetyCertificateappliesisconnectedtoapowersupplyandissafetouse.
Certi
f
ier’sname:
Registration/Practising
licencenumber:
Certifier’s
signature:
CertificateIssueDate:
Email:
Organisation/
Company:
ThiselectricalsafetycertificatealsoconfirmsthattheelectricalworkcomplieswiththebuildingcodeforthepurposesofSection19(1)(e)ofthe
BuildingAct2004.
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WKS 14 Energy Safety Electrical Safety Certificate (Ministry of Business, Innovation and Employment New Zealand)

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Completed 1 March 2021

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