Title Page
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Site conducted
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Name.
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Date.
SECTION A. DETAILS OF THE PERSON ORDERING THE REPORT
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Name.
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Address.
SECTION B. REASON FOR PRODUCING THIS REPORT
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What is the reason for producing this report.
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Date(s) on which inspection and testing was carried out.
SECTION C. DETAILS OF THE INSTALLATION WHICH IS THE SUBJECT OF THIS REPORT
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Occupier.
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Address.
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Description of premises.
- Domestic
- Commercial
- Industrial
- Other (include brief description)
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Estimated age of wiring system (years).
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Evidence of additions / alterations.
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If evidence of additions / alterations is yes estimate age (years).
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Installation records available ? (Regulations 651.1).
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Date of last inspection.
SECTION D. EXTENT AND LIMITATIONS OF INSPECTING AND TESTING
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Extent of the electrical installation covered by this report.
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Agreed limitations including the reason(s) (see Regulations 653.2)
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Agreed with.
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Operational limitations including the reason(s).
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The inspection and testing detailed in this report and accompanying schedules have been carried out in accordance with BS 7671:2018 (IET WIRING REGULATIONS) as amended to.
SECTION E. SUMMARY OF THE CONDITION OF THE INSTALLATION
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General condition of the installation (in terms of electrical safety)
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Overall assessment of the installation in terms of it's suitability for continued use.
SECTION F. RECOMMENDATIONS
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Where the overall assessment of the suitability of the installation for continued use as above is stated as unsatisfactory, I/we 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). Observations classified as 'improvement recommended'(code C3) should be given due consideration. Subject to the necessary remedial action being taken, I / we recommend that the installation is further inspected and tested by.
SECTION G. DECLARATION
I/we being the person(s) responsible for the inspection and testing of the electrical installation (as indicated by my/our 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 the 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.
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Inspected and tested by (name)
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Inspected and tested by (signature)
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For/on behalf of.
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Position.
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Address.
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Date.
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Report authorised for issue by (name)
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Report authorised for issue by (signature)
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For/on behalf of.
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Position.
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Address.
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Date.
SECTION H. SCHEDULE(S)
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Number of schedule(s) of inspection.
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Number of schedule(s) of test results.
SECTION I. SUPPLY CHARACTERISTICS AND EARTHING ARRANGEMENTS
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Earthing arrangements.
Nature of Supply Parameters.
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Nominal voltage (in volts)
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Number and type of live conductors.
- AC 1-phase, 2 wire
- AC 2-phase, 3 wire
- AC 3-phase, 3 wire
- AC 3-phase, 4 wire
- DC 2-wire
- DC 3-wire
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Confirmation of supply polarity.
Supply Protective Device.
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BS (EN)
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Type.
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Rated current.
SECTION J. PARTICULARS OF INSTALLATION REFERRED TO IN THE REPORT
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Means of earthing.
Details of Installation Earth Electrode (where applicable)
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Type.
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Location.
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Resistance to earth (ohms)
Main Protective Conductors
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Earthing conductor material.
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Earthing conductor csa mm2.
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Earthing connection/continuity verified.
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Main protective bonding conductors (to extraneous-conductive-parts) material.
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Main protective bonding conductors (to extraneous-conductive-parts) csa mm2.
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Main protective bonding conductors (to extraneous-conductive-parts) connection/continuity verified.
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Bonding to water installation pipes.
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Bonding to gas installation pipes.
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Bonding to oil installation pipes.
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Bonding to structural steel.
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Bonding to lightning protection.
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Bonding to other (specify)
Main Switch / Switch-Fuse / Circuit-breaker / RCD
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Location.
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BS(EN)
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No of poles.
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Current rating A.
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Fuse / device rating or setting A.
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Voltage rating V.
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If RCD main switch.. Rated residual operating current mA.
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If RCD main switch.. Rated time delay ms.
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If RCD main switch.. Measured operating time ms.
SECTION K. OBSERVATIONS
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Referring to the attached schedules of inspection and test results, and subject to the limitations specified at the extent and limitations of inspection and testing section.
- No remedial action is required
- The following observations are made
OBSERVATION(S) include schedule reference, as appropriate.. One of the following codes, as appropriate, has been allocated to each of the observations made below to indicate to the person(s) responsible for the installation the degree of urgency for remedial action. C1 - Danger present. Risk of injury. Immediate remedial action required. C2 - Potentially dangerous - urgent remedial action required. C3 - Improvement recommended. FI - Further investigation required without delay.
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Observation(s) and classification code..
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