Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Annual Assessment Report

  • Technician Name

  • Contract

  • Area

  • Line Manager

  • Purpose of Assessment

  • Please give detail

  • Length of service

  • Years served as electrician

  • Understanding the requirements for BS 7671 qualified (to current edition)?

  • Inspection and Testing of Installations Qualified(i.e. 2391)?

Test meters and Equipment Review

Multifunction Tester

  • Make

  • Model

  • Serial Number

  • Calibration Date

  • In Date

  • Monthly Check sheet up to date

  • Comments

MFT readings from Check box

  • MFT Nulled? (Common to Common)

Continuity

  • Common to 0.5Ω

  • Common to 1.0Ω

  • Common to 2.0Ω

Insulation Resistance

  • Common to 0.5 MΩ

  • Common to 2.0 MΩ

  • Common to 200 MΩ

Earth fault Loop Impedance

  • Local

  • + 1.00Ω

  • + 100 Ω

RCD Disconnect times

  • Tested at 15mA (answer in mS)

  • Tested at 30mA (answer in mS)

  • Tested at 150mA (answer in mS)

  • Clamp Meter

Clamp Meter

  • Make

  • Model

  • Serial Number

  • Calibration Date

  • Fluke Extension Probes Condition

  • In Date

  • Monthly Check sheet up to date

  • Comments

Microwave Emission Tester

  • Make

  • Model

  • Serial Number

  • Calibration Date

  • In Date

  • Comments

Lock off kit

  • Make

  • Serial Number

  • Condition

  • Comments

Socket Tester

  • Make

  • Serial Number

  • Condition

  • Comments

Voltage indicating device

  • Make

  • Serial Number

  • Condition

  • Comments

British Standard

  • Proving unit

  • Calcard Available

  • Serial Number

  • Access to BS7671 or On-site Guide

Hand Tools and PPE

  • Sufficient VDE insulated Hand Tools to complete tasks required

  • Insulated gloves

  • PPE Available

  • All electrical tools PAT tested annually

  • Comments

Electrical Competency Questions

  • Comments

  • Pass Mark Acheived?

Completion of Certification

  • Minor Works certificate completed correctly

  • Technician understands clauses on certificate

  • Installation Certificate completed correctly

  • Technician understands clauses on certificate

  • Emergency Lighting Certificate completed correctly

  • Technician understands clauses on certificate

  • Comments

Lock Off/Tag Off Practical

  • Lock off completed By engineer

  • Outcome

  • Comments

Previous Work completion on-site

  • Job Number

  • Description of work completed by Technician

  • Has the work been completed inline with with BS7671

  • Comments and recommendations to the Technician

Competency of Testing

  • Technician is required to carry out 3 of the following tests where possible. these tests should be done in accordance with training and NICEIC guidance

  • Continuity of Protective Conductors

  • Results

  • Continuity of Ring final Conductors

  • Results

  • Insulation Resistance

  • Results

  • Polarity

  • Results

  • Earth Loop Impedance

  • Result

  • Testing RCD

  • Result

  • Functional Testing

  • Result

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