EAST WEST CONNECT Ltd / BS 7671:2018 Ed AMTECH TEMPLATE TEST CERTIFICATE TYPES 1. ELECTRICAL INSTALLATION CERTIFICATE 2. REFERENCE SHEET 3. DOMESTIC ELECTRICAL INSTALLATION CERTIFICATE 4. MINOR ELECTRICAL INSTALLATION WORKS CERTIFICATE 5. ELECTRICAL INSTALLATION CONDITIONAL REPORT 6. DESIGN,INSTALLATION,DETECTION OF FIRE ALARMS IN DWELLINGS 7.SITE TEMPS INSTALLATION (Short Version) Electrical Test Certificate Templates (18th Edition) CON-FM-79 1 of 40 Revision 00 Scope This document contains blank templates for Electrical Testing Certificates designed to meet the requirements of BS7671:2018 - IET Wiring Regulations 18th Edition. It is East West Connects Policy to use these Templates for recording all Test and Inspection works carried out on behalf of East West Connect. Electrical Testing and Inspection Processes, Certification and record keeping are managed by the East West Connect Testing Department and connected works MUST be carried out in accordance with these processes. Templates contained within this document are as follows:
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EAST WEST CONNECT Ltd / BS 7671:2018 Ed AMTECH TEMPLATE TEST CERTIFICATE TYPES
1. ELECTRICAL INSTALLATION CERTIFICATE2. REFERENCE SHEET3. DOMESTIC ELECTRICAL INSTALLATION CERTIFICATE4. MINOR ELECTRICAL INSTALLATION WORKS CERTIFICATE5. ELECTRICAL INSTALLATION CONDITIONAL REPORT6. DESIGN,INSTALLATION,DETECTION OF FIRE ALARMS IN DWELLINGS7.SITE TEMPS INSTALLATION (Short Version)
Electrical Test Certificate Templates (18th Edition)
CON-FM-79 1 of 40 Revision 00
ScopeThis document contains blank templates for Electrical Testing Certificates designed to meet the requirements of BS7671:2018 - IET Wiring Regulations 18th Edition. It is East West Connects Policy to use these Templates for recording all Test and Inspection works carried out on behalf of East West Connect.Electrical Testing and Inspection Processes, Certification and record keeping are managed by the East West Connect Testing Department and connected works MUST be carried out in accordance with these processes.
Templates contained within this document are as follows:
being the person(s) responsible for the design of the electrical installation (as indicated by signature(s) below), particulars of which are described above, have
exercised reasonable skill and care when carrying out the design hereby CERTIFY that the design work for which have been responsible is, to the best of
knowledge and belief in accordance with BS 7671 amended to (date) except for the departures, if any detailed as follows:
being the person(s) responsible for the construction of the electrical installation (as indicated by signature(s) below), particulars of which are described
above, have exercised reasonable skill and care when carrying out the construction hereby CERTIFY that the construction work for which have been responsible
is, to the best of knowledge and belief in accordance with BS 7671 amended to (date) except for the departures, if any detailed as follows:
Address
Extent of the
installation
covered by this
certificate
New
An
Addition
An
Alteration
The extent of liability of the signatory or signatories is limited to the work described above as the subject of this certificate.
For the DESIGN of the installation:
Signature
Signature
Date
Date
Name (CAPITALS)
Name (CAPITALS)
**(where there is divided responsibility for the design)
Details of departures from BS 7671, as amended (Regulations 120.3, 133.1.3 and 133.5)
The extent of liability of the signatory is limited to the work described above as the subject of this certificate.
For the CONSTRUCTION of the installation:
Signature Date Name (CAPITALS)
Client/Address
Details of departures from BS 7671, as amended (Regulations 120.3, 133.1.3 and 133.5)
The extent of liability of the signatory is limited to the work described above as the subject of this certificate.
For the INSPECTION AND TESTING of the installation:
Signature Date
Name (CAPITALS) Inspector
Signature Date
Name (CAPITALS) Qualified
Supervisor
The installation is:
Designer 1
Designer 2 **
Constructor
Details of departures from BS 7671, as amended (Regulations 120.3, 133.1.3 and 133.5)
Reviewed by
Details of permitted exceptions
(Regulations 411.3.3):
being the person(s) responsible for the inspection and testing of the electrical installation (as indicated by signature(s) below), particulars of which are
described above, have exercised reasonable skill and care when carrying out the inspection and testing hereby CERTIFY that the work for which have been
responsible is, to the best of knowledge and belief in accordance with BS 7671 amended to (date) except for the departures, if any detailed as
follows:
Where applicable, a suitable risk assessment(s)
must be attached to this Certificate:Number of pages:
8.17Provision of fire barriers sealing arrangements so as to
minimise the spread of fire10.0 Current-using equipment (permanently connected)
8.18 Band II cables segregated/separated from Band I cables 10.1 Suitability of equipment in terms of IP and fire ratings
8.19 Cables segregated/separated from non-electrical services 10.2Enclosure not damaged/deteriorated during installation so as
to impair safety
8.20 Termination of cables at enclosures: 10.3 Suitability for the environment and external influences
a) Connections under no undue strain 10.4 Security of fixing
b) No basic insulation of a conductor visible outside enclosure 10.5Cable entry holes in ceilings above luminaires, sized or sealed
so as to restrict the spread of fire
c) Connections of live conductors adequately enclosed 10.6 Recessed luminaires (downlighters):
d) Adequately connected at point of entry to enclosure a) Correct type of lamps fitted
8.21 Suitability of circuit accessories for external influences b) Installed to minimise build-up of heat
8.22 Circuit accessories not damaged during erection 10.7 Provision of undervoltage protection, where specified
8.23Single-pole devices for switching or protection in line
conductors only10.8 Provision of overload protection, where specified
8.24Adequacy of connections including CPCs within accessories
and at fixed and stationary equipment10.9 Adequacy of working space/accessibility to equipment
11.0Special installations or locations
List below any special installations or locations which are part of the installation to be verified, and confirm that the additional requirements given in the respective section of Part 7 are fulfilled:
Details of circuits and/or equipment vulnerable to damageh t ti
Circuit Tests
Tested By
Trimble FastTest
Reference sheet 3
The following list of devices are numbered to correspond to the list provided within FastTest. In
order to save time simply note the reference number on your site inspection pack and then select
that reference from within the program. The correct device will then be printed on your completed
certificates.
General Protective Devices
Reference Number Device
1 BS 88-2 Fuse HRC gG (General)
2 BS 88-2 Fuse HRC mG (Motor)
3 BS 3036 Fuse Re-Wireable (semi-enclosed)
30
4 BS 1361 Fuse HBC Domestic Type 1
5 BS 1361 Fuse HBC Domestic Type 2
6 BS 1362 Fuse Domestic
7 Fuse Obsolete Type
8 BS EN 60898 MCB Type B
9 BS EN 60898 MCB Type C
10 BS EN 60898 MCB Type D
11 BS 3871 MCB Type 1
12 BS 3871 MCB Type 2
13 BS 3871 MCB Type 3
14 BS 3871 MCB Type 4
15 MCB Obsolete Type
16 BS EN 60947-2 MCCB
17 MCCB Obsolete Type
18 BS EN 60947-2 ACB
19 ACB Obsolete Type
20 BS EN 60947-2 MCB Type B
21 BS EN 60947-2 MCB Type C
22 BS EN 60947-2 MCB Type D
Residual Current Devices (RCD's)
23 BS 4293 RCD
24 BS EN 61008 RCD
25 BS EN 61009 RCD / RCBO Type B
26 BS EN 61009 RCD / RCBO Type C
27 BS EN 61009 RCD / RCBO Type D
Isolators
Reference Number Device
28 BS 5419 Isolator
29 BS EN 60947-3 Isolator
DeviceReference Number
BS 88 -3 Fuse
Client and address Installation address
Extent of the installation work
covered by this Certificate
New:
An Addition
An Alteration
Details of departures from BS 7671, as amended (Regulations 120.3, 133.5)
The extent of liability of the signatory is limited to the work described above as the subject of this certificateFor the DESIGN, the CONSTRUCTION and the INSPECTION AND TESTING of the installation
Signature Name Date
The results of the Inspection and Testing reviewed by the Qualified Supervisor
DateNameSignature
Trading Title
Address
Enter interval as appropriate
I RECOMMEND that this installation is further inspected and tested after
an interval of not more than
Note: Enter 'NONE' or, where appropriate, the page number(s)
of additional page(s) of comments on the existing installation
The installation is
PostCode PostCode
PostCode
or change of tenancy
I, being the person responsible for the design, construction and testing of the electrical installation (as
indicated by my signature adjacent), particulars of which are described above, having exercised reasonable
skill and care when carrying out the design, construction, inspection and testing, hereby CERTIFY that the
said work for which I have been responsible is, to the best of my knowledge and belief, in accordance with
(date) except for the departures,if any,detailed as follows:amended toBS7671:
Page 1 of 5
Details of the Client Address of the Installatio
Details of the Installatio
Design, Construction, Inspection and Tes
Particulars of the Electrical Contra Next Inspection
Particulars of the Electrical Contractor Next Inspection
Comments on Existing Installation
Schedule of Additional Records
Description
System Type(s)
TN-S
TN-C-S
TT
Number and type of live conductors
1-Phase
(2 Wire)1-Phase
(3 Wire)
3-Phase
(4 Wire)
3-Phase
(3 Wire)
Other
Nature of supply parametersNotes(1) by enquiry (2) by enquiry or by measurement (3) where more
than one supply, record the higher or highest values
Nominal
Voltage(s)U(1)
(1)fNominal
frequency
Prospective fault
current, IpfExternal earth fault
loop impedance, Ze(1)
(1)
Characteristics of primary supply
overcurrent protective device(s)
BS(EN)
Type
Nominal
Current rating
Short-Circuit
Capacity
Means of Earthing
Distributor's
facility
Installation
earth electrode
Type
Electrode
resistance,RA
Location
Method of
Measurement
Measured Ze
Maximum
demand
(Load)
Number of
smoke alarms
Earthing Conductor
Conductor
Material
Conductor
csa
Continuity verified
Main protective bonding conductors of extraneous-conductive-parts
Conductor
Material
Conductor
csa
Structural
Steel
Oil
Installation
Pipes
Other
Gas
Installation
Pipes
Type
BS(EN)
No. of
Poles
Supply
conductors
material
Supply
conductors
csa
Voltage
Rating
Current
Rating,I
*RCD
Operating
current at I n
*RCD
Operating
time at I n
* applicable only where an RCD
is used as a main circuit breaker
Main Switch or Circuit Breaker
(2)(3)
Uo
V
Hz
kA
VA
kAΏ
Ώ
ΏV
A
ms
mm2
mm2
mA
3-Phase
kA(2)(3)pf
Prospective fault
current, I
Single-Phase
Protective measures for
fault protection
Location
(where not obvious)
Nominal
Voltage(s)
Number of
sources
Continuity verified
Confirmation
of polarity
Tick boxes and enter details, as appropriate
Tick boxes and enter details, as appropriate
Rated time
delay* ms
Water
Installation
Pipes
Outcome
Acceptable
conditionNot applicable
Item No
N/A
Description OutcomeItem No
Outcomes
Details of Installation Earth Electrode (where applicable)
2mm
Connection verifiedConnection verified
1.0 External condition of intake equipment (visual inspection only) 3.0 Automatic disconnection of supply
1.1 Service cable 3.1 Presence and adequacy of earthing and protective bonding arrangements:
1.2 Service head a) Installation earth electrode (where applicable)
1.3 Earthing arrangement b) Earthing conductor and connections, including accessibility
1.4 Meter tails c) Main protective bonding conductors and connections, including accessibility
1.5 Metering equipment d) Provision of safety electrical earthing/bonding labels at all appropriate locations
1.6 Isolator (where present) e) RCD(s) provided for fault protection
2.0 Presence of adequate arrangements for other sources 4.0 Basic protection
2.1Adequate arrangements where a generating set operates as a switched alternative to the public
supply4.1
Presence and adequacy of measures to provide basic protection (prevention of contact with live parts) within
the installation:
2.2 Adequate arrangements where generating set operates in parallel with the public supply a) Insulation of live parts e.g. conductors completely covered with durable insulating material
2.3 Presence of alternative/additional supply warning notices at the origin of the installation b) Barriers or enclosures e.g. correct IP rating
Supply Characteristics, Earthing and Bonding Arrang
Supply Characteristics, Earthing and Bonding Arrangements
Particulars of Installation at the Origin
Schedule of Items Inspected
Description Outcome
Acceptable condition Not applicable
Item No
N/A
Description OutcomeItem No
Outcomes
5.0 Additional protection 8.3Segregation/separation of Band I (ELV) and Band II (LV) circuits, and electrical and non-
electrical services
5.1 Presence and effectiveness of additional protection methods: 8.4 Cables correctly erected and supported throughout, with protection against abrasion
a) RCD(s) not exceeding 30 mA operating current 8.5 Provision of fire barriers, and sealing arrangements where necessary
b) Supplementary bonding 8.6 Non-sheathed cables enclosed throughout in conduit, ducting or trunking
6.0 Other methods of protection 8.7 Conductors correctly identified by colour, lettering or numbering
6.1 Presence and effectiveness of methods which give both basic and fault protection: 8.8 Presence, adequacy and correct termination of protective conductors
a) SELV system including the source and associated circuits 8.9 Cables and conductors correctly connected, enclosed and with no undue mechanical strain
b) PELV system including the source and associated circuits 8.10 No basic insulation of a conductor visible outside enclosure
c) Double or reinforced insulation i.e. Class II or equivalent equipment and associated circuits 8.11 Single-pole devices for switching or protection in line conductors only
d) Electrical separation for one item of equipment e.g. shaver supply unit 8.12 Accessories not damaged, securely fixed, correctly connected, suitable for external influences
7.0 Consumer unit(s)/distribution board(s) 8.13Cables concealed under floors, above ceilings or in walls/partitions, adequately protected
against damage
7.1 Adequacy of access and working space for items of electrical equipment including switchgear 8.14 Cables installed in walls or partitions, installed in prescribed zones
7.2 Components are suitable according to assembly manufacturer's instructions or literature 8.15 Provision of additional protection by RCD not exceeding 30 mA for:
7.3 Presence of linked main switch(es) a) - all socket-outlets with a rated current not exceeding 32 A
7.4 Isolators, for every circuit or group of circuits and all items of equipment b) - supplies to mobile equipment with a current rating not exceeding 32 A for use outdoors
7.5 Suitability of enclosure(s) for IP and fire ratings c) - cables concealed in walls/partitions at a depth of less than 50 mm
7.6 Protection against mechanical damage where cables enter equipment d) - cables concealed in walls/partitions containing metal parts regardless of depth
7.7Confirmation that ALL conductor connections are correctly located in terminals and are tight and
securee) - final circuits supplying luminaires within domestic (household) premises
7.8 Avoidance of heating effects where cables enter ferromagnetic enclosures e.g. steel 8.16 Presence of appropriate devices for isolation and switching correctly located including:
7.9Selection of correct type and ratings of circuit protective devices for overcurrent and fault
protectiona) Means of switching off for mechanical maintenance
7.10 Confirmation overvoltage protection (SPDs) provided where specified b) Emergency switches
7.11 Indication that SPDs continued functionality confirmed c) Functional switches, for control of parts of the installation and current-using equipment
7.12 Adequacy of AFDD(s) where present 9.0 Current-using equipment (permanently connected)
7.13 Presence of appropriate circuit charts, warning and other notices: 9.1 Suitability of equipment in terms of IP and fire ratings
a) Provision of circuit charts/schedules or equivalent forms of information 9.2 Enclosure not damaged/deteriorated so as to impair safety
b)Warning notice of method of isolation where live parts not capable of being isolated by a single
device9.3 Suitability for the environment and external influences
c) Periodic inspection and testing notice 9.4 Security of fixing
d) RCD six-monthly test notice where required 9.5 Cable entry holes in ceiling above luminaires, sized or sealed so as to restrict the spread of fire
e) AFDD six-monthly test notice where present 9.6 Recessed luminaires (downlighters):
f) Warning notice of non-standard (mixed) colours of conductors present a) Correct type of lamps fitted
7.14 Presence of labels to indicate the purpose of switchgear and protective devices b) Installed to minimise build-up of heat
8.0 Circuits 9.7 Adequacy of working space/accessibility to equipment
8.1Adequacy of conductors for current-carrying capacity with regard to type and nature of the
installation
8.2 Cable installation methods suitable for the location(s) and external influences
10.0 Location(s) containing a bath or shower 10.3 Shaver sockets comply with BS EN 61558-2-5
10.1 Additional protection by RCD not exceeding 30 mA for: 10.4Presence of supplementary protective equipotential bonding unless not required by BS 7671:
2018
a) - low voltage circuits serving the location 10.5 Low voltage (e.g. 230 volts) socket-outlets sited at least 3 m from Zone 1
b) - low voltage circuits passing through Zone 1 and/or Zone 2 not serving the location 10.6 Suitability of equipment for external influences for installed location in terms of IP rating
10.2 Where used as a protective measure, requirements for SELV or PELV are met 10.7 Suitability of equipment for installation in a particular zone
11.0 Other special installations or locations
11.1 List below any other special installations or locations which are part of the installation to be verified, and confirm that the additional requirements of the particulars of the installation are fulfilled
I certify that the work covered by the certificate does not impair the safety of the existing installation and the work has been designed, constructed, inspected and
tested in accordance with BS 7671: (IET Wiring Regulations) amended to and that to the best of my knowledge and belief at the time of
my inspection complied with BS 7671 except as detailed in PART 1 above.
n
nms
s
4. Description of minor works
2. Date minor works completed
5. Details of departures if any from BS 7671:2018 for the circuit altered or extended (Regulations 120.3, 133.1.3, 133.5)
RCD operation:
Rated residual operating
current (l )
Satisfactory test button
operation
1. System earthing arrangement TT
DB Reference No.
TN-S
Circuit No.
Conductor sizes:
3. Presence of adequate main protective conductors
TN-C-S2. Earth fault loop impedance at distribution board
(Zdb) supplying the final circuit
mm2 2
Ω
DB location and type
A
Protective conductor continuity
MΩ mAR1 + R2 Ω
or R2 Ω
Continuity of ring final circuit conductors
ΩL/L
Ω
cpc/cpc
MΩ
Earth fault loop impedance Zs ΩΩ
cpc
Rating
Live
1. Details of Client
6. Comments on (including any defects observed in) the existing installation (Regulation 644.1.2)
Earthing conductor
Main protective bonding conductors to Water Gas
N/N
Insulation resistance
Live-Earth
Polarity satisfactory
Live-Live
Oil Structural steel
Circuit description
Circuit overcurrent
protective deviceBS (EN) Type
Other
mm
To be used only for minor electrical work which does not include the provision of a new circuit.
3. Location / Address
AFDD manual test satisfactory
Method of fault protection
Name
Signature
Position
Date
For and on behalf of
Address and Postcode
Name
Date
Position
Signature
The results of the inspection and testing
reviewed by the Qualified Supervisor
Other
ContinuityRCD
Insulation resistance
Earth fault loop
impedance
Agreed limitations, if any on the inspection and testing
Test instruments (serial numbers) used:
ΩMax Zs permitted by BS 7671
Where the method of fault protection is ADS insert
PART 2: Presence and adequacy of installation earthing and bonding arrangements (Regulation 132.16)
PART 4: Test results for the circuit altered or extended (where relevant and practicable)
2018
Registration
No.
Branch No.
(If applicable)
MINOR ELECTRICAL INSTALLATION
WORKS CERTIFICATE
PART 1:Description of Minor Works
PART 2: Presence and adequacy of installation earthing and bonding arrangements (Regulation 132.16)
PART 3: Circuit details
PART 4: Test results for the circuit altered or extended (where relevant and practicable)
PART 5: Declaration
Where the overall assessment of the suitability of the installation for continued use above is stated as , recommend that any observations classified as
'Danger present' (code C1) or 'Potentially dangerous' (code C2) are acted upon as a matter of urgency.
Investigation without delay is recommended for observations identified as 'further investigation required' (code FI).
Observation classified as 'Improvement recommended' (code C3) should be given due consideration.
Subject to the necessary remedial action being taken recommend that the installation is further inspected and tested by
This inspection and testing detailed in this report and accompanying schedules have been carried out in accordance with BS7671:2018 (IET Wiring Regulations) as amended
to
, being the person(s) responsible for the inspection and testing of the electrical installation (as indicated by signatures below), particulars of
which are described above, having exercised reasonable skill and care when carrying out the inspection and testing, hereby declare that the
information in this report, including the observations and attached schedules, provides an accurate assessment of the condition of the electrical
installation taking into account the stated extent and limitations in section D of this report.
Extent of Electrical Installation covered by this report: Agreed limitations including the reasons (See regulation 653.2)
Operational Limitations including the reasons (See page No )
Agreed with name
Client:
Address:
Purpose of this report:
Date(s) on which Inspection:
and testing was carried out
General condition of the installations (In terms of electrical safety)
Overall assessment of the installation *An unsatisfactory assessment indicates that dangerous (code C1) and/or potentially dangerous (code
C2) conditions have been identified.
DomesticDescription of
premises:
Records held By:Record of
Installation available:
Date of previous
inspection:
Evidence of alterations
or additions:
Other:
IndustrialCommercial
Estimated age of wiring system:
yrs
yrs
If yes
estimated Age
Address:
Installation:
Trading Title
and address
Inspected and tested by:
Schedule(s) of inspection and Schedule(s) of test results are attached
Report authorised for issue by:
SignatureName Position Date
DatePosition SignatureName
The attached schedule(s) are part of this document and this report is valid only when they are attached to it.
It should be noted that cables concealed within trunking and conduits, under floors, in roof spaces, and generally within the fabric of the building or underground, have NOT
been inspected unless specifically agreed between the client and inspector prior to the inspection. An inspection should be made within an accessible roof space housing
A. Details of the Client/Person Ordering the Report B. Reason for Producing this Report
E. Summary of the Condition of the Installation
F. RecommendationsWe
We
C. Details of the Installation which is the Subject of this Report
H. Schedule(s)
OurWe
July 2018
G. Declaration
ELECTRICAL INSTALLATION
CONDITION REPORT
ELECTRICAL INSTALLATION
CONDITION REPORT
A. Details of the Client/Person Ordering the Report B. Reason for Producing this Report
C. Details of the Installation which is the Subject of this Report
D. Extent and Limitations Inspection and Testing
E. Summary of the Condition of the Installation
F. Recommendations
G. Declaration
H. Schedule(s)
One of the following codes, as appropriate, has been allocated to each of the observations made above to indicate to the person(s) responsible for the installation the
degree of urgency for remedial action.
Nominal
current rating
Type
BS(EN)
Supply protective deviceNature of Supply Parameters
2-Phase
(3 wire)
1-Phase
(2 wire)
a.c.
Number and Type of Live Conductors
IT
TT
TN-C
TN-C-S
TN-S
Earthing
Arrangements
3-Phase
(3 wire)
Short circuit
capacity
d.c.
3
Wire
Other
2
Wire
Other
Means of earthing
Distributor's
facility
Installation
earth electrode
Type (e.g. rod(s),
tape etc.)
Details of installation Earth Electrode (where applicable)
Resistance to
EarthΩ
Location
Method of
measurement
Earthing
Conductor
Main protective
bonding conductors
Material
Material
csa
csa
mm
mm
2
2
Continuity Verified
Continuity Verified
Bonding of Incoming Service
Water installation
pipes
Gas installation
pipes
Lightning
protection
Oil installation
pipes
Structural
Steel
Other incoming
service(s)
Please State
Maximum Demand (Load)
Protective measure(s) against electric shock
Location
Type BS(EN)
Supply
Conductors
material
No of poles
Supply
Conductors
csa
Current
rating
Fuse/Device
rating or setting
Voltage
rating
A
A
V
if RCD main switch
mA
ms
ms
3-Phase
(4 wire)
Rated residual
operation current,
I n
Rated time delay
RCD Operating
time at, I n
Confirmation of supply polarity
Tick boxes and enter details as applicable
The following observations are madeNo remedial action is required.
Referring to the attached schedule(s) of Inspection and Test Results, and subject to the limitations specified at the Extent and Limitations of the Inspection and testing section.
Details of circuits and/or equipment vulnerable to damageh t ti
Circuit Tests
Tested By
Where the overall assessment of the suitability of the installation for continued use above is stated as , recommend that any observations classified as
'Danger present' (code C1) or 'Potentially dangerous' (code C2) are acted upon as a matter of urgency.
Investigation without delay is recommended for observations identified as 'further investigation required' (code FI).
Observation classified as 'Improvement recommended' (code C3) should be given due consideration.
Subject to the necessary remedial action being taken recommend that the installation is further inspected and tested by
This inspection and testing detailed in this report and accompanying schedules have been carried out in accordance with BS7671:2018 (IET Wiring Regulations) as amended
to
, being the person(s) responsible for the inspection and testing of the electrical installation (as indicated by signatures below), particulars of
which are described above, having exercised reasonable skill and care when carrying out the inspection and testing, hereby declare that the
information in this report, including the observations and attached schedules, provides an accurate assessment of the condition of the electrical
installation taking into account the stated extent and limitations in section D of this report.
Extent of Electrical Installation covered by this report: Agreed limitations including the reasons (See regulation 653.2)
Operational Limitations including the reasons (See page No )
Agreed with name
Client:
Address:
Purpose of this report:
Date(s) on which Inspection:
and testing was carried out
General condition of the installations (In terms of electrical safety)
Overall assessment of the installation *An unsatisfactory assessment indicates that dangerous (code C1) and/or potentially dangerous (code
C2) conditions have been identified.
DomesticDescription of
premises:
Records held By:Record of
Installation available:
Date of previous
inspection:
Evidence of alterations
or additions:
Other:
IndustrialCommercial
Estimated age of wiring system:
yrs
yrs
If yes
estimated Age
Address:
Installation:
Trading Title
and address
Inspected and tested by:
Schedule(s) of inspection and Schedule(s) of test results are attached
Report authorised for issue by:
SignatureName Position Date
DatePosition SignatureName
The attached schedule(s) are part of this document and this report is valid only when they are attached to it.
It should be noted that cables concealed within trunking and conduits, under floors, in roof spaces, and generally within the fabric of the building or underground, have NOT
been inspected unless specifically agreed between the client and inspector prior to the inspection. An inspection should be made within an accessible roof space housing
A. Details of the Client/Person Ordering the Report B. Reason for Producing this Report
E. Summary of the Condition of the Installation
F. RecommendationsWe
We
C. Details of the Installation which is the Subject of this Report
H. Schedule(s)
OurWe
July 2018
G. Declaration
ELECTRICAL INSTALLATION
CONDITION REPORT
ELECTRICAL INSTALLATION
CONDITION REPORT
A. Details of the Client/Person Ordering the Report B. Reason for Producing this Report
C. Details of the Installation which is the Subject of this Report
D. Extent and Limitations Inspection and Testing
E. Summary of the Condition of the Installation
F. Recommendations
G. Declaration
H. Schedule(s)
One of the following codes, as appropriate, has been allocated to each of the observations made above to indicate to the person(s) responsible for the installation the
degree of urgency for remedial action.
Nominal
current rating
Type
BS(EN)
Supply protective deviceNature of Supply Parameters
2-Phase
(3 wire)
1-Phase
(2 wire)
a.c.
Number and Type of Live Conductors
IT
TT
TN-C
TN-C-S
TN-S
Earthing
Arrangements
3-Phase
(3 wire)
Short circuit
capacity
d.c.
3
Wire
Other
2
Wire
Other
Means of earthing
Distributor's
facility
Installation
earth electrode
Type (e.g. rod(s),
tape etc.)
Details of installation Earth Electrode (where applicable)
Resistance to
EarthΩ
Location
Method of
measurement
Earthing
Conductor
Main protective
bonding conductors
Material
Material
csa
csa
mm
mm
2
2
Continuity Verified
Continuity Verified
Bonding of Incoming Service
Water installation
pipes
Gas installation
pipes
Lightning
protection
Oil installation
pipes
Structural
Steel
Other incoming
service(s)
Please State
Maximum Demand (Load)
Protective measure(s) against electric shock
Location
Type BS(EN)
Supply
Conductors
material
No of poles
Supply
Conductors
csa
Current
rating
Fuse/Device
rating or setting
Voltage
rating
A
A
V
if RCD main switch
mA
ms
ms
3-Phase
(4 wire)
Rated residual
operation current,
I n
Rated time delay
RCD Operating
time at, I n
Confirmation of supply polarity
Tick boxes and enter details as applicable
The following observations are madeNo remedial action is required.
Referring to the attached schedule(s) of Inspection and Test Results, and subject to the limitations specified at the Extent and Limitations of the Inspection and testing section.
Details of circuits and/or equipment vulnerable to damageh t ti
Circuit Tests
Tested By
Issued in accordance with BS 5839-6 : 2017
Client :
Address : PostCode:
The System Is :
Address :New
ModificationExtent of the fire detection and
alarm system covered by this
certificate
PostCode:
System Grade : B C D E F System Category : PD1 PD2LD3LD2LD1
( See Note 1 ) A tick in the box indicates the inspection or test has been performed and the results are satisfactory
N/A indicates an inspection or test is not appropriate
Test buttons checked
All alarm warning
devices operate
Silencing system
checked
Simulated smoke
or aerosol test
Heat Test
Bedroom sound
level (Clause 13.2)
Dedicated circuit(s)
provided
Protective device
labelled
Audible and Visual
indication of mains
failure
Sound level test instrument used (See Note 2)
Model and Serial no.
Serial No. of associated
Electrical Installations Certificate
or Minor Electrical Installation
Works Certificate (See Note 1)
Tick boxes to indicate that the written information has been issued to the user
I/We the undersigned declare that the occupier* of the dwelling (or owner in the case of a house in multiple occupancy) has been
provided with written information about essential aspects of the operation and maintenance of the system, as follows :
Operation of the system Routine testing of the system Checking the system on
reoccupation of the
dwelling after a vacation etc.Action to be taken in the event of an
alarm signal
Servicing and maintenance of the system
(including intervals at which
any batteries should be replaced)
The need to keep clear space around all
detectors and manual call points
Avoidance of false alarms and action
in the event of a false alarm
Warning that apparent false alarm
from carbon monoxide detector may
not be false alarm
Special precautions relevant to any lithium
batteries used in the system
The need to avoid
contamination of detectors by
paint
As-fitted drawing
*In the case of a newly-built property and where the future occupier is unknown, the User Instructions
should be issued to the builder for onward transmission to the purchaser together with the related electrical safety certificate.
Date:Signature:
This certificate has been reviewed by the Qualified Supervisor:
Variations(if any)
The extent of liability of the signatory / signatories is limited to the work described above as the subject of this certificate.
Signature:
Name:
Date:
Name:
Trading title
Address :
PostCode:Branch No.
(if applicable)
Registration No.
(Essential information)
Note 1. The electrical safety aspects of the fire detection and alarm system must also be certified in accordance with BS 7671: 'Requirements for Electrical Installations' by issuing an electrical safety certificate
of a form which meets the requirments of BS 7671 such as a 'Domestic Electrical Installation Certifcate' or, where appropriate, a 'Minor Electrical Installation Works Certificate'.
Note 2. An instrument complying with BS EN 61672, Class 2, with slow response and A weighting (see clause 13.2), is suitable for measuring the sound level .
Note 3. This certificate may be required by an authority responsible for enforcement of fire safety legislation, such as the building control authority or housing authority. The recepient of this certificate might rely
on the certificate as evidence of compliance with legislation. Liability could arise on the part of any organisation or person that issues a certificate without due care in ensuring its validity.
I/We, being the person(s) responsible (as indicated by my/our signature(s) below), for the design, installation and commissioning of the fire alarm system,
particulars of which are set out above, CERTIFY that the said work for which I/We have been responsible complies to the best of My/our knowledge and belief with the
recommendations of BS 5839: Part 6 for the system described above, except for the variations, if any, stated below:
For the design, installation and commissioning of the system: