ASH Emergency Lighting Periodic Inspection and Testing Certificate

• Client / Site Name:

A- Customer Details:

• Occupier/ Client

• Postcode

• Purpose of certificate- To be continued compliance of an existing installation

B- Details of the emergency lighting installation

• Address

• Extent of the installation covered by this certificate

C- Details of deviations from the current code of practice

• Details of deviations

D- Related reference documents

• Electrical installation condition report No. and/or date of most recent- covering the existing emergency lighting installation

• Other documents (if any) please state

E- Next Inspection

• I/We, the person identified in K, RECOMMEND that the installation is further inspected and tested after an interval of no more than

• Notes: 1. The wiring system of an existing emergency lighting system should have been periodically inspected and tested in accordance with BS 7671 and an Electrical Installation Condition Report issued. Where applicable and where available, the serial number and/or date of the most recent report should be recorded in the space provided.

F- Purpose of installed emergency lighting system (tick applicable boxes)

• Emergency escape lighting

• Escape route lighting

• Open area lighting

• Standby lighting

• Partial standby lighting

• High risk task area lighting

G- Emergency lighting installation arrangement (tick applicable boxes)

• Self-contained emergency luminaire

• Central battery system

• Combined emergency luminaire

• Standby generator system

H- Classification of operation for emergency lighting system

• Please state: Type, Mode, Facilities & Duration

• Please state: Type, Mode, Facilities & Duration

I- Results of inspection and testing

• Clause 4.2- P1- Plans are available and correct

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 5- P2- Adequate illumination is provided under test conditions, for safe movement on escape routes (1 lux minimum on the centre line) and in open areas (0.5 lux minimum)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 6.6- P3- Luminaires correctly positioned and orientated as shown on the plans

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 10- P4- Original design still valid

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 5.4- P5- All escape route safety signs and other safety signs, such as fire fighting equipment location signs visible with the normal lighting extinguished

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 6.6- P6- Correct application and siting of emergency escape lighting

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 6.7- P7- Luminaires conform to BS EN 60598-2-22

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 6.7- P8- Luminaires have an appropriate Ingress Protection rating for their location

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 8- P9- Wiring systems comply with the requirements of BS 7671

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 8.2- P10- Fire protection of central wiring systems satisfactory (including cable supports)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 8.2.6- P11- Emergency escape lighting circuits correctly segregated from other supplies

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 8.2.12- P12- Wiring to emergency lighting supply power sources in a fixed installation, where a specialist plug and socket arrangement is issued, it is protected against unauthorised interference

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 8.3.3- P13- A sufficient number of suitably located test facilities are provided

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 8.3.5- P14- Central power system output voltage range is compatible with the supply voltage range of the luminaires, taking into account supply cable voltage drop

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 12.3- P15- Luminaires tested and found to operate for their full rated duration

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 10.6- P16- Instructions for operation and maintenance are available

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 11- P17- Test records in the log book complete and satisfactory

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 10.6; 10.7; 11- P18- Instructions together with a suitable log book showing a satisfactory commissioning test available for use by the building occupier

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 12- P19- Luminaires clean and undanaged with lamps in good condition

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 10.7; 12- P20- Building occupier and their staff trained on suitable maintenance, testing and operating procedures, or a current maintenance contract is in place

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 12.1- P21- Evidence of servicing of Central Battery System (in line with the manufacturer’s procedures); in-house or current maintenance contract is in place

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 12.2- P22- Evidence of servicing of Standby Generator System (in line with the manufacturer’s procedures); in-house or current maintenance contract in place

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Clause 12.3- P23- After test, each luminaire charging indicator operates correctly

  Select Yes No N/A

  • Yes
  • No
  • N/A

• * Where a ‘No’ is answered, the deviation must be recorded in Section C of this report

• ** This can be checked by visual inspection and checking that the illumination from the luminaires is not obscured and that the minimum design spacings have been met

• Notes:
  ‘Yes’ indicates that an item was assessed and the declared outcome was SATISFACTORY,
  ‘No’ indicates that an item was assessed and a deviation was identified
  ‘N/A’ indicates that the assessment of an item was not applicable to the particular installation

J- Comments (if any)

• Comments

K- Certification

• Engineers Name

• For and on behalf of Ash Electrical Services

  Sign

• Customer Acknowledgement (INPUT NAME): I confirm the satisfactory completion of the above maintenance visit.

• Customer Job Title:

• For and on behalf of the Customer:

  Sign

• Date:

  Date

ASH Company Details:

• ASH Electrical Services, 20 Bradfield Way, Waverley, Sheffield, S60 8WE
  Telephone number: 0114 2699240