COC Electrical Template
COC Electrical Template
COC Electrical Template
REFERENCE/CERTIFICATE ID NO.:
This form has been designed to be used by licensed electrical workers to certify that installations or Part installations under Part 1 or
Part 2 of AS/NZS 3000 are safe to be connected to the specified system of electrical supply.
Location Details:
Contact Details:
(Name and address)
The work has been done in accordance with a certified design: Yes ■ No
If yes – identify the certified design including name, date and version. Also attach a copy of the certified design to this certificate.
(Or provide reference to readily accessible electronic format, eg Internet link.)
Identify:
Link:
The work relies on a Supplier Declaration of Conformity (SDoC): ■ Yes No
If yes ‐ identify the SDoC including name, date and version OR EESS registration. Also attach a copy of the SDoC to this certificate.
(Or provide reference to readily accessible electronic format, eg Internet link.)
Identify: Hybrid Inverter System https://www.fox-ess.com/wp-content/uploads/2021/10/SDS-AIO-H1AU.pdf
Link: HV Batteries https://www.fox-ess.com/wp-content/uploads/2020/09/HV2600-Safety-Datasheet-DG2048606E.pdf
The installation has been satisfactorily tested in accordance with the Electricity (Safety) Regulations 2010 Yes
No ■
By signing this document I certify that the completed prescribed electrical work to which this Certificate of Compliance
applies has been done lawfully and safely, and the information in the certificate is correct.
Certifier’s signature: Date:
Electrical Safety Certificate
By signing this document I certify that the installation, or part of the installation, to which this Electrical Safety Certificate
applies is connected to a power supply and is safe to use.
Certifier’s Registration/Practising
name: Ben Vroom licence number: EW156024
Certifier’s Certificate Connection Date:
signature: Issue Date:
CUSTOMER COPY – THIS IS AN IMPORTANT DOCUMENT AND SHOULD BE RETAINED FOR A MINIMUM OF 7 YEARS
This Electrical Safety Certificate also confirms that the electrical work complies with the building code for the purposes of Section 19(1)(e) of the Building Act 2004.