Title Page
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Prepared by
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Signed
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Conducted on
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Document Reference:
Job Details:
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Address works conducted at:
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Operatives Name:
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Contractor:
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Dates work completed:
Nature of work carried out:
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Void
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Upgrade
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Rewire
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Smoke alarm upgrade
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Repairs
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New Development
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Other
Visual / Functional Inspection:
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Location of consumer unit.
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Photo of consumer unit (with cover)
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Photo of consumer unit (without cover)
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Consumer unit meets required ingress protection code for its environment?
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Photograph
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Are the main protective bonding conductors in place and correctly located?
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Are all accessories in an acceptable and safe condition?
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Are all accessories securely fixed? (e.g., socket outlets, consumer unit, light fittings and trunking)
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Are fire rated clips installed where required?
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Is there a circuit schedule present at the consumer unit?
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All suitable warning labels present?
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Solar PV warning labels correctly located? (If applicable)
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Smoke alarms interconnected - Functional test.
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Smoke alarms correctly located? (CO2 between 1 - 3 meter from the boiler) (If applicable to job carried out)
Certificate:
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Has the certificate been issued?
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Has the correct certification been issued? (e.g., minor works, Installation, fire detection & EICR)
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Does the measured Ze value match that on the certificate?
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Recorded Ze value: (1) measured value on certificate. (2) measured value on post inspection.
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Does the measured PFC value match that on the certificate?
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Recorded PFC value: (1) measured value on certificate. (2) measured value on post inspection.
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Does the earthing system match that on the certificate?
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Does the main earthing conductor cross sectional area match that stated on the certificate? (If applicable)
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Does the main bonding conductor cross sectional area match that stated on the certificate? (If applicable)
Sample Testing:
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Circuit number:
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Circuit Details:
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r1+r2 =
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L-L =
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N-N =
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E-E =
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Zs =
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Points=
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r1+r2 Recorded on certificate:
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L-L Recorded on certificate:
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N-N Recorded on certificate:
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E-E Recorded on certificate:
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Zs Recorded on certificate:
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Points recorded on certificate:
Observations & Recommendations:
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Has all C1's & C2's been rectified as client's instructions? (If applicable)
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Has all C3's been rectified as client's instructions? (If applicable)
Tenant:
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Is the property occupied?
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Was the tenant made aware of the works completed by the electrician?
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Tenants feedback:
Summary:
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All works carried out to a satisfactory condition?
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Photos of works carried out:
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Additional comments: