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Electrical Evaluation Form

WES Electrician (Viewed by Customer)(Required)
Viewed by Customer
Viewed by Customer
To Send Info To Customer
Viewed By Customer
Viewed By Customer

Evaluation Summary for Homeowner

1. Checked for proper placement of smoke detectors/carbon monoxide:
2. Tested smoke alarms for interconnectivity:
3. Checked GFCI protection where necessary:
4. Tested receptacles for proper operation and safety:
5. Inspected 120/240V circuitry for water heater, AC/HP, and furnace:
6. Checked hot tub/spa to verify electrical code and GCI protection:
7. Checked elec. panels, main breakers, branch breakers, bussing:
8. Tested GFCI, AFCI Breakers and Receptacles:
9. Evaluated elec. service conductors, mast/risers, and grounding system:
Viewed By Customer
Viewed By Customer
Viewed By Customer

Home Information:

Homeowner's Requested Rooms to Improve
Choose all rooms that apply
Interest in EV Charger Install?
Main Electrical Service
Amperage:
Overhead:
Underground:
 

Room #1 Details - (Choose Room Type Below)

What type of room is Room #1?
(Room # 1 Type, Column A)
(choose from either columns: A or B)
(Room # 1 Type, Column B)

Room #1 Receptacles
Room #1 Receptacles
Room #1 Receptacles
Room #1 GFCI
Room #1 GFCI
Room #1 Switches
Room #1 Switches
Room #1 Switches
Room #1 Smoke Detectors
Room #1 Smoke Detectors
Room #1 Lighting
Room #1 Lighting

Which appliances are present in this room?
Choose all that apply

Room #1
Room #1
Room #1

Room #1 Notes

Room # 2 Details - (Choose Room Type Below)

What type of room is Room #2?
(Room # 2 Type, Column A)
(choose from either columns: A or B)
(Room # 2 Type, Column B)

Room #2 Receptacles
Room #2 Receptacles
Room #2 Receptacles
Room #2 GFCI
Room #2 GFCI
Room #2 Switches
Room #2 Switches
Room #2 Switches
Room #2 Smoke Detectors
Room #2 Smoke Detectors
Room #2 Lighting
Room #2 Lighting

Which appliances are present in this room?
Room #2
Choose all that apply
Room #2

Room #2
Room #2
Room #2

Room #2

Panel Information

Panel Size
Panel A
Panel B
 
Panel # of Circuits
Panel A
Panel B
 
Panel Location
Panel A
Panel B
 
Panel Brand
Panel A
Panel B
 
New Panel Type
Panel A
Panel B
 

Sub-Panel Information

Sub Panel Amps
Needed
Existing
 
Sub Panel # of Spaces
Needed
Existing
 
Sub Panel Location
Needed
Existing
 

Specialty Breakers

Bonding/Grounding

Water Bond

Generator

Generator Info
Size:
Location:
 
Generator Info
ATS Model:
ATS Location:
 

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