Information
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Conducted on
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Prepared by
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Select date
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Customers Name
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Site Address
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Meter Location
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Consumers Mains Size (mm sq)
- 4mm sq
- 6mm sq
- 10mm sq
- 16mm sq
- 25mm sq
- 35mm sq
- 50mm sq
- 70mm sq
- 95mm sq
- 120mm sq
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Number of Phases in Consumers Mains
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Sub-Board Location
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Sub-Mains Size (mm sq)
- 4mm sq
- 6mm sq
- 10mm sq
- 16mm sq
- 25mm sq
- 35mm sq
- 50mm sq
- 70mm sq
- 95mm sq
- 120mm sq
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Number of Phases in Sub-Mains
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Type of Premises
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Number of Stories
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Main switch fitted
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Maximum of 3 circuits per safety switch
RCD 1 Metered Test
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Performed metered test on RCD's and Record results
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No trip
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0 degrees
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180 degrees
RCD 2 Metered Test
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Performed metered test on RCD's and Record results
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No trip
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0 degrees
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180 degrees
RCD 3 Metered Test
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Performed metered test on RCD's and Record results
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No trip
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0 degrees
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180 degrees
RCD 4 Metered Test
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Performed metered test on RCD's and Record results
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No trip
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0 degrees
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180 degrees
RCD 5 Metered Test
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Performed metered test on RCD's and Record results
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No trip
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0 degrees
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180 degrees
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Surge diverter fitted
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Surge diverter condition
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Number of smoke detectors fitted
- 0
- 1
- 2
- 3
- 4
- 5
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All smoke detectors tested and functioning
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Location of smoke detectors that failed test
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Emergency lights fitted
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Visual inspection of switch board wiring
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Visual inspection of switch board labels
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Check that circuit breaker/fuse rating is correct for the size of cable
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Check kA rating of circuit breakers comply with standards (minimum 6kA)
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Type of wiring system
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Visually inspect wiring system and document condition
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Is there an earth at each lighting point
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Record location of highest earth neutral loop resistance and it's value
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Is polarity correct for all power points
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Is earthing correct for all power points
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Record result of main earth cable resistance test
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Earth stake location
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Is earth stake protected against corrosion e.g painted
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Test earthing system and record results (FLI equal or less than 1.2 ohms)
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COMMENTS/RECOMMENATIONS:
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