Electrical remedial confirmation: free blank PDF
Download a printable electrical remedial confirmation for England. The PDF contains the record sections shown below and writing space for the actual findings.
Download the blank printable PDF for free.
Free blank Electrical remedial confirmation form
Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.
Blank Written Confirmation of Remedial Electrical Work form
Record scope and contents
England. The qualified person responsible for the remedial work or further investigation.
- Report and work: Confirmation number, Date work completed, Originating inspection report reference, Work carried out, Safety standards now met, Further work still required
- Work location: Work jurisdiction
- Registered business: Company name, Company address, Company postcode, Phone
- Customer or duty-holder: Customer or duty-holder name, Customer address, Customer postcode
- Site: Installation or site address, Site postcode
- Named person: Named person, Competence or registration number, Signature, Date signed
Primary source for this record · checked 2 October 2026
What the Electrical remedial confirmation covers
Link the original unsatisfactory inspection report to the specific remedial work or further investigation, dates and confirmation supplied. Keep the associated EIC or minor works record when installation work needs one; this confirmation does not replace its test results.
Who needs one
- The qualified person responsible for the remedial work or further investigation.
- Record scope: England.
- Keep the completed record with the source documents, findings and job reference.
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