Please fill out this form completely to ensure your electrical system is thoroughly inspected for safety and compliance.
(Please check all that apply)
Main Electrical Panel
Circuit Breakers
Wiring and Outlets
Grounding and Bonding
Smoke and Carbon Monoxide Detectors
Lighting Fixtures
Satisfactory
Needs Repair
Requires Replacement
Satisfactory
Needs Repair
Requires Replacement
Satisfactory
Needs Repair
Requires Replacement
Satisfactory
Needs Repair
Requires Replacement
I hereby acknowledge that the inspection was completed to the best of the inspector's ability and that I have received a copy of the inspection report.
Name:
Date:
Inspection Form Templates @ Template.net
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