Title Page
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Site conducted
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Conducted on
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Prepared by
Annual Assessment Report
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Technician Name
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Contract
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Area
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Line Manager
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Purpose of Assessment
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Please give detail
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Length of service
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Years served as electrician
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Understanding the requirements for BS 7671 qualified (to current edition)?
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Inspection and Testing of Installations Qualified(i.e. 2391)?
Test meters and Equipment Review
Multifunction Tester
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Make
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Model
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Serial Number
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Calibration Date
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In Date
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Monthly Check sheet up to date
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Comments
MFT readings from Check box
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MFT Nulled? (Common to Common)
Continuity
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Common to 0.5Ω
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Common to 1.0Ω
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Common to 2.0Ω
Insulation Resistance
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Common to 0.5 MΩ
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Common to 2.0 MΩ
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Common to 200 MΩ
Earth fault Loop Impedance
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Local
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+ 1.00Ω
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+ 100 Ω
RCD Disconnect times
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Tested at 15mA (answer in mS)
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Tested at 30mA (answer in mS)
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Tested at 150mA (answer in mS)
Clamp Meter
Clamp Meter
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Make
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Model
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Serial Number
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Calibration Date
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Fluke Extension Probes Condition
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In Date
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Monthly Check sheet up to date
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Comments
Microwave Emission Tester
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Make
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Model
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Serial Number
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Calibration Date
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In Date
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Comments
Lock off kit
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Make
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Serial Number
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Condition
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Comments
Socket Tester
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Make
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Serial Number
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Condition
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Comments
Voltage indicating device
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Make
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Serial Number
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Condition
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Comments
British Standard
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Proving unit
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Calcard Available
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Serial Number
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Access to BS7671 or On-site Guide
Hand Tools and PPE
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Sufficient VDE insulated Hand Tools to complete tasks required
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Insulated gloves
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PPE Available
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All electrical tools PAT tested annually
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Comments
Electrical Competency Questions
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Comments
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Pass Mark Acheived?
Completion of Certification
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Minor Works certificate completed correctly
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Technician understands clauses on certificate
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Installation Certificate completed correctly
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Technician understands clauses on certificate
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Emergency Lighting Certificate completed correctly
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Technician understands clauses on certificate
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Comments
Lock Off/Tag Off Practical
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Lock off completed By engineer
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Outcome
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Comments
Previous Work completion on-site
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Job Number
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Description of work completed by Technician
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Has the work been completed inline with with BS7671
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Comments and recommendations to the Technician
Competency of Testing
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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
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Continuity of Protective Conductors
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Results
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Continuity of Ring final Conductors
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Results
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Insulation Resistance
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Results
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Polarity
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Results
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Earth Loop Impedance
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Result
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Testing RCD
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Result
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Functional Testing
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Result