Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. SUMMARY OF THE CONDITION OF THE INSTALLATION:

General condition of the installation:

Approximate age of the installation:

Evidence of alterations or additions:

2. OBSERVATION AND RECOMMENDATIONS FOR ACTIONS TO BE TAKEN:

  • There are no visually-evident items affecting electrical safety

The following observations and recommendations are made:

  • 1.

  • Code:

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  • 2.

  • Code:

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  • 3.

  • Code:

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  • 4.

  • Code:

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  • More Recommendations:

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3. NEXT INSPECTION:

I recommend that this installation is further inspected after an interval of not more than (interval in terms of years, months or weeks as appropriate):

  • Inspection is:

4.DECLARATION:

I being the person responsible for the visual inspection of the electrical installation (as indicated by my signature below), particulars of which are described above, having exercised reasonable skill and care when carrying out the inspection, hereby declare that the information in this report, including the observations and the attached schedules, provides an accurate assessment of the condition of the electrical installation taking into account the limitations of a visual-only inspection.

  • Visually not unsatisfactory

  • Unsatisfactory, significant damages, deterioration and/or defects being evident

  • Signature:

  • Date:

5. ORIGIN IF INSTALLATION:

Primary supply overcurrent protective device:

  • BS EN:

  • BS EN Fuse Number

  • Type and number of poles:

  • Rated current (in A):

  • Rated short-circuit capacity (in kA):

System type(s):

  • Systems

Means of earthing:

  • Distributor's facility

  • Earth electrode

  • Type:

  • Location:

Earthing system:

  • Earthing conductor condition:

  • MET condition:

Bonding of extraneous-conductive-parts

  • Service

6. CONSUMER UNIT:

  • Photo of the consumer unit if available:

  • Main switch type:

  • Circuit breakers:

  • BS 3036:

  • BS 1361:

  • BS 88 / BS EN 60269

  • RCD (BS):

  • RCD (l^n):

  • Schedule of circuit details:

  • Label for RCD protection

  • Label for next inspection

  • Label for mixed wiring

  • Overall condition of the consumer unit:

7. FINAL CIRCUIT:

  • 1. Lighting upstairs

  • Observations:

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  • 2. Lighting downstairs:

  • Observations:

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  • 3. Socket-outlets

  • Observations:

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  • 4. Cooker

  • Observations:

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  • 5. Immersion heater

  • Observations:

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  • 6. Shower unit

  • Observations:

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  • 7. Heating circuit

  • Observations:

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  • 8. Smoke detector(s)

  • Observations:

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  • 9. Equipment outdoors

  • Observations:

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8. WIRING SYSTEM

  • Type:

  • Condition:

9. LOCATION CONTAINING BATH OR SHOWER - ADDITIONAL PROTECTION

  • Supplementary equipotential bonding

  • All final circuits protected by RCD

10. OPERATIONAL TESTS

  • RCD test button

  • Functional tests

  • Main switch

  • Smoke detector(s)

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