*Serial No:

Online Certificate Compliance Electrical Work (CCEW)

Any field marked with an * is mandatory

INSTALLATION ADDRESS
Property Name

Floor Unit *Street Number &/or Lot/RMB

*Street Name Nearest Cross Street

*Suburb *State *Post Code

NSW
Pit/Pillar /Pole No. NMI Meter No. AEMO Metering Provider I.D.

CUSTOMER DETAILS Please tick if Customer Address details same as installation details
*First Name *Last Name

Company Name

Floor Unit *Street Number &/or Lot/RMB

*Street Name Nearest Cross Street

*Suburb *State *Post Code

Email Office No. Mobile No.

INSTALLATION DETAILS
*Type of Installation
Residential Commercial Industrial Rural Mixed Development
*Work carried out
New Work Installed Meter Network connection
Addition/alteration to existing Install Advanced Meter EV Connection
Re-inspection of non-compliant work Non-Compliance No.
Special Conditions
Over 100 amps Hazardous Area Off Grid Installation
High Voltage Unmetered Supply Secondary Power Supply
*DETAILS OF EQUIPMENT
Select equipment installed and estimate increase of work affected by the work carried out
EQUIPMENT RATING NUMBER INSTALLED PARTICULARS
Switchboard
Circuits
Lighting
Socket Outlets
Appliances
Generation
Storage

*Meters - Installed (I), Removed (R), Existing (E)

Master/Sub Status - No (N), Master (M), Sub (S)
Meter No. Master/Sub Wired as Register
I R E Reading Tariff
No. Dials Status Master/Sub No.

Estimated increase in load A/ph

* Is increased load within capacity of installation/service mains? Yes No
* Is work connected to supply? (pending DSNP Inspection) Yes No

INSTALLERS LICENSE DETAILS

*First Name *Last Name

Floor Unit *Street Number &/or Lot/RMB

*Street Name Nearest Cross Street

*Suburb *State *Post Code

Email Office No. Mobile No.

*Qualified Supervisors No. *Expiry Date *Contractor’s License No. *Expiry Date
Or
*TEST REPORT
In respect to the test carried out by me on the above mentioned installation, I certify that:
1. I have carried out the test below and that the installation has passed the following requirements:
Earthing system integrity
Residual current device operational
Insulation resistance Mohms
Visual check that installation is suitable for connection to supply
Polarity
Stand-Alone system complies with AS4509
Correct current connections
Fault loop impedance (if necessary)
2. I confirm that I have visually checked that the installation described in this Certificate complies with the
relevant Acts, Regulations, Codes and Standards;
3. *The test was completed on

TESTERS LICENSE DETAILS Please tick if Testers Lic. details same as Installers Lic. details
*First Name *Last Name

Floor Unit *Street Number &/or Lot/RMB

*Street Name Nearest Cross Street

*Suburb *State *Post Code

*Email Office No. Mobile No.

*Qualified Supervisors No. *Expiry Date *Contractor’s License No. *Expiry Date
Or

In my capacity as the Tester, I certify that the electrical work carried out on the above mentioned property
was completed by the nominated electrician

*SUBMIT CCEW
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CCEW directly to that provider
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Please confirm the owners email address to send a copy of this CCEW directly to the property owner

I certify that the information provided in this Certificate Compliance Electrical Work (CCEW) is true
and correct.
If completing this CCEW electronically, please click the SUBMIT button to
generate an email with a copy of the CCEW which you can save and send to the
NSW regulator, Customer, the Service Provider and Meter Provider.
*Signature
Signature is only required when
providing as a printed copy
SUBMIT