Information
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CIS Assessment No.
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Address
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Conducted on
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Prepared by
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Personnel
General
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Test instruments operation verified.
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Type of installation
- Domestic
- Commercial
- Industrial
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Is the installation energised.
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Are there alternate sources of energy connected. E.g. Solar, UPS, standby generator.
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Take action to isolate, lockout and tag alternate sources of energy.
Main Switchboard
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Visual inspection conducted. Note earthing, cable entry points, markings and labels, location of main earth rod.
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MEN connection intact
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Position of main switch(s) and CPD,s noted
Consumers Mains
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Are the consumer mains being tested/verified.
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Size of consumer mains.
- 10mm
- 16mm
- 25mm
- 35mm
- 50mm
- Other
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Number of Phases.
- 1
- 2
- 3
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Insulation resistance.
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Polarity
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Neutral integrity
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*****TAKE ACTION TO MAKE SAFE****
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If the installation has been initially energised, it is assumed that the consumer mains have been inspected, tested and verified by the distribution entity,
Main and equipotential earthing
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Location
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Main earthing conductor continuity. (.5 Ohm max.)
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Bonding conductor continuity. (.5 Ohm max.)
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Earthing of metallic switchboard surrounds. (.5 Ohm max)
Circuit Testing
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Circuit(s) to be tested have been isolated, locked out and tagged.
Circuit
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Circuit Description
- Lighting
- Power
- Hot Water
- Range
- Oven
- Air Conditioning
- Pool
- Submain
- Other
- Hot Plate
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Details.
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Sub-main is supplying.
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Circuit Protection Details
- Circuit Breaker
- MCB/RCD
- HRC Fuses
- Rewirable Fuses
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RCD trip current
- 30mA
- 10mA
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Is an RCD fitted to the circuit
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RCD trip current
- 30mA
- 10mA
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Is an RCD required to be fitted.
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Circuit protection size.
- 10A
- 16A
- 20A
- 25A
- 32A
- 40A
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Active conductor size.
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
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Earth conductor size.
- 1mm
- 1.5mm
- 2.5mm
- 4mm
- 6mm
- 10mm
- 16mm
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Visual inspection.
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Earth continuity
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Insulation resistance to earth.
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Short circuit A to N
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Polarity test Active(s).
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Polarity test Neutral.
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Interconnection between circuits.
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Fault Loop Impedance Test
- Yes
- No
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Fault loop impedence
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RCD operation.
Exit Checks.
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Switchboard secure
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MEN connection intact
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Main switch and circuit protection devices returned to original state. Lockouts removed.
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Alternate sources of energy returned to service.
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Walk through visual undertaken
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Covers, access panels, manhole etc. replaced.
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Tools and equipment returned to the vehicle.
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Person in control advised of departure
DISCLAIMER
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Only the circuits or part of the circuits described in this report have been verified. This report does not provide assurance that all electrical equipment in the installation has been verified.
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Inspector