Electrical Installation Condition Report
No.EICR-2026-007
1. General Information
| Inspection date | 7/14/2026 | Address | 15 Maple Drive, Springfield, IL 62704 |
| Basis for inspection | Periodic inspection (every 5 years) |
2. Object of Inspection
| Object type | not filled in | Object name | 15 Maple Drive |
| Technical condition | not filled in | Release date | 6/1/2014 |
| Start of operation | 7/1/2014 |
3. Inspection Findings
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
| 2 | - | not filled in |
4. Additional Information
| Identification was carried out | Installation type: Residential, age: 12 years |
| There are remarks | Overall condition satisfactory; minor defects noted in labeling and one loose outlet. |
5. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | John Smith | Electrical Inspector | Performed inspection |
| 2 | Jane Doe | Homeowner | Present during inspection |