Minor Electrical Installation Works Certificate V4.9

• PR Number:

• Site Number:

• Site Name:

• Site Address:

• ISG Branch:

  Manchester

  London

  Birmingham

  Swindon

  Scotland

• Conducted on

  Date

• Prepared by ISG Engineer:

• Part 1: Details of the Minor Works

• Client:

• Project Name:

• Description of the minor works:

• DB location:

• Distribution Board ZDB:

• Distribution Board Reference No.

• Circuit Reference No.

• Circuit Description:

• Details of departures, if any, from BS 7671 (as amended):

• Details of permitted exceptions (regulation 411.3.3) where applicable a risk assessment(s) must be attached to this certificate.

• Risk Assessment attached:

  Yes

  No

  N/A

• Reason:

• Part 2: Details of the Modified Circuit/ Installation Details

• System earthing arrangements:

  TN-C-S

  TN-S

  TT

  TN-C

  IT

• Method of Fault Protection:

• Protective device for the modified circuit:

• BS (EN):

• Type:

• Rating (A):

• Residual current device (if applicable):

• BS (EN):

• Type:

• I^n (mA)

• Details of wiring system used to modify the circuit:

• Type:

• Reference method:

• CSA of lives (mm^2):

• CSA of CPC (mm^2):

• Where the measure for protection against electric shock is ADS, insert maximum disconnection time permitted by BS7671 (s):

• Maximum Zs permitted by BS 7671(Ω)

• Comments, if any, on existing installation, including adequacy of earthing and bonding arrangements (see regulation 132.16):

• Part 3: Inspection and Testing of the Modified Circuit and Related Parts

• Confirmation that necessary inspections have been undertaken.

  Yes

  No

  N/A

• Circuit Resistance (Ω) - if Applicable:

• R1+R2

• R2

• Continuity of ring final circuit conductors:

• L/L(Ω):

• N/N(Ω):

• cpc/cpc(Ω):

• Insulation resistance. (In a multi-phase circuit, record the lower or lowest value, as appropriate):

• Line/Line (MΩ)

• Line/Neutral (MΩ)

• Line/Earth (MΩ)

• Neutral/Earth (MΩ)

• Instrumental Serial No(s).

• Confirmation of the adequacy of earthing

  Yes

  No

  N/A

• Confirmation of the adequacy of protective bonding

  Yes

  No

  N/A

• Confirmation of correct polarity:

  Yes

  No

  N/A

• Maximum measured earth fault loop impedance, Zs (Ω):

• RCD operating current at l^n (if RCD fitted) (mA)

• RCD operating time at l^n, if applicable (ms)

• Satisfactory test button operation if applicable:

  Yes

  No

  N/A

• Part 4: Declaration:

• For and on behalf of:

• Address and Postcode:

  Select Unit C1 ,Broadoak Business Park ,Trafford Park Manchester ,M17 1RW ,Tel: 01784 480 381 South EastUnit A2Saxon PlaceRochesterKentME2 2NWTel: 01784 485 220 Unit 13 ,Enterprise Trading Estate ,Pedmore Road ,Brierley Hill ,DY5 1TX Scotland 10 Wren Court Strathclyde Business Park Bellshill North Lanarkshire ML4 3NQ Tel: 01698 740 542

  • Unit C1 ,Broadoak Business Park ,Trafford Park Manchester ,M17 1RW ,Tel: 01784 480 381
  • South EastUnit A2Saxon PlaceRochesterKentME2 2NWTel: 01784 485 220
  • Unit 13 ,Enterprise Trading Estate ,Pedmore Road ,Brierley Hill ,DY5 1TX
  • Scotland 10 Wren Court Strathclyde Business Park Bellshill North Lanarkshire ML4 3NQ Tel: 01698 740 542

• Name and signature:

  Sign

• Position

• Date

  Date

• NICEIC Assessment No 030533-002
  

MINOR ELECTRICAL INSTALLATION WORKS CERTIFICATE NOTES

• MINOR ELECTRICAL INSTALLATION WORKS CERTIFICATE GUIDANCE FOR RECIPIENTS (to be appended to the Certificate)