Information
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Client Name.
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What Client
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Conducted on
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Survey Type
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Survey conducted by.
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Name of Competent Person
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First line of the Address.
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Front Elevation and Front Door Photo
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Location.
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Project
LEL Mid & Post Install
LED Lighting Survey
Rooms in Property
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What rooms need LEL's installed?
- Living Room
- Hallway
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Bedroom 4
- Bedroom 5
- Kitchen
- Bathroom
- Dining Room
- External
- Study
- W/C
- Other
Living Room
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
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Details of down lights, how many etc
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Are the existing down lights fire rated?
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Are there fire rated hoods fitted?
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Are we changing the light fitting or bulbs in this room
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Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Dining Room
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
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Details of down lights, how many etc
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Are the existing down lights fire rated?
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Are there fire rated hoods fitted?
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Are we changing the light fitting or bulbs in this room
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Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Bedroom 1
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
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Details of down lights, how many etc
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Are the existing down lights fire rated?
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Are there fire rated hoods fitted?
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Are we changing the light fitting or bulbs in this room
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Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Bedroom 2
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
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Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Bedroom 3
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
-
Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Bedroom 4
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
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Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Bedroom 5
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
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Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Kitchen
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
-
What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
-
Conduct earth fault loop test
-
Result of test
-
Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Bathroom
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
-
What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
-
Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
W/C
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
-
What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
-
Conduct earth fault loop test
-
Result of test
-
Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Other
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Specify Room
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
-
What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
-
Conduct earth fault loop test
-
Result of test
-
Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
-
Photo of product packaging/model number
Study
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
-
What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
-
Conduct earth fault loop test
-
Result of test
-
Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Hallway
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What type of fitting is present in the room
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
-
What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs in this room
-
Conduct earth fault loop test
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Result of test
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Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
External Lighting
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What type of fitting is present externally
- Bayonet (B22)
- Mini Bayonet
- Downlights
- Edison (E27)
- Fluorescent
- GU12 Fitting
- GU5 Fitting
- Other
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What type
-
Details of down lights, how many etc
-
Are the existing down lights fire rated?
-
Are there fire rated hoods fitted?
-
Are we changing the light fitting or bulbs
-
Conduct earth fault loop test
-
Result of test
-
Electrical wiring free from visual defects?
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Mid Install Photo
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Post Install Photo
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Photo of product packaging/model number
Points considered
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Use of a Step ladder/ladder
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Access and Egress
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Manual Handing
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Hand Tools/Power Tools
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Vibration
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Noise
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Dust
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House Keeping
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Lone Working
Sign Off
Assessment Sign off
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Competent Person Signature and Full name
