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Example certificate of testing and safety

A Queensland certificate for electrical equipment, like a repaired appliance or machine.

An example with made-up details. Yours fill in from the job, with your business, licence and logo.

Example Electrical

0400 000 000 · hello@example.com

Gold Coast QLD

CERT-0001

CERTIFICATE OF:

(Please mark relevant check-box)

TESTING AND COMPLIANCE(Electrical installation)

Issued in accordance with s229 of the Electrical Safety Regulation 2026

✕TESTING AND SAFETY(Electrical equipment)

Issued in accordance with s208 of the Electrical Safety Regulation 2026

* Work performed for:

Name

TitleMs
Given name/sSam
SurnameCitizen

Address

Street12 Example Street
Suburb/townSouthport
Postcode4215

* Electrical installation / equipment tested (including site address for electrical installation work if different from above)

Repaired a commercial pie warmer: replaced the element and supply flex, tested before returning to service.

Date of test8 October 2026
Electrical contractor licence number00000
Name on contractor licenceExample Electrical
Electrical contractor phone number0400 000 000

For electrical installations, this certifies that the electrical installation, to the extent it is affected by the electrical work, has been tested to ensure that it is electrically safe and is in accordance with the requirements of the wiring rules and any other standard applying under the Electrical Safety Regulation 2026 to the electrical installation.

For electrical equipment, this certifies that the electrical equipment, to the extent it is affected by the electrical work, was tested to ensure it is electrically safe.

Date notice given 
* Indicates a mandatory field · Electrical Safety Office (Queensland)Form V7.09-2026

Test results · CERT-0001

Tested 8 October 2026 · AS/NZS 3000 & AS/NZS 3017

CircuitDescriptionCableProtectionIR (MΩ)Cont. (Ω)PolarityConn.RCDEFLI (Ω)
1Pie warmer, new element and flex1.0 mm² 3-core flex10 A plug>2000.31✓✓

IR = insulation resistance · Cont. = earth continuity · Conn. = correct circuit connections · RCD = trip test (and trip time) · EFLI = earth fault-loop impedance (N/A: not required, no socket-outlets)