Verification of Electrical Installation

• CIS Assessment No.

• Address

• Conducted on

  Date

• Prepared by

• Personnel

General

• Risk Assessment completed.

  Yes

  No

  N/A

• Person in control advised of testing to be undertaken.

  Yes

  No

  N/A

• Test instruments operation verified.

  Yes

  No

  N/A

• Type of installation

  Select Domestic Commercial Industrial

  • Domestic
  • Commercial
  • Industrial

• Is the installation energised.

  Yes

  No

  N/A

• Are there alternate sources of energy connected. E.g. Solar, UPS, standby generator.

  Yes

  No

• Take action to isolate, lockout and tag alternate sources of energy.

Main Switchboard

• Visual inspection conducted. Note earthing, cable entry points, markings and labels, location of main earth rod.

  Yes

  No

  N/A

• MEN connection intact

  Yes

  No

  N/A

• Position of main switch(s) and CPD,s noted

  Yes

  No

  N/A

Consumers Mains

• Are the consumer mains being tested/verified.

  Yes

  No

• Size of consumer mains.

  Select 10mm 16mm 25mm 35mm 50mm Other

  • 10mm
  • 16mm
  • 25mm
  • 35mm
  • 50mm
  • Other

• Number of Phases.

  Select 1 2 3

  • 1
  • 2
  • 3

• Insulation resistance.

  Compliant

  Not Compliant

  Test Not Conducted

• Polarity

  Compliant

  Not Compliant

  Test Not Conducted

• Neutral integrity

  Verified

  Not Compliant

  Test Not Conducted

• *****TAKE ACTION TO MAKE SAFE****

• 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

• Main earthing conductor continuity. (.5 Ohm max.)

  Compliant

  Not Compliant

  Test Not Conducted

• Bonding conductor continuity. (.5 Ohm max.)

  Compliant

  Not Compliant

  Test Not Conducted

• Earthing of metallic switchboard surrounds. (.5 Ohm max)

  Compliant

  Not Compliant

  Test Not Conducted

Circuit Testing

• Circuit(s) to be tested have been isolated, locked out and tagged.

  Yes

  No

  N/A
Circuit

• Circuit Description

  Select Lighting Power Hot Water Range Oven Air Conditioning Pool Submain Other

  • Lighting
  • Power
  • Hot Water
  • Range
  • Oven
  • Air Conditioning
  • Pool
  • Submain
  • Other

• Details.

• Sub-main is supplying.

• Circuit Protection Details

  Select Circuit Breaker MCB/RCD HRC Fuses Rewirable Fuses

  • Circuit Breaker
  • MCB/RCD
  • HRC Fuses
  • Rewirable Fuses

• RCD trip current

  Select 30mA 10mA

  • 30mA
  • 10mA

• Is an RCD fitted to the circuit

  Yes

  No

• RCD trip current

  Select 30mA 10mA

  • 30mA
  • 10mA

• Is an RCD required to be fitted.

  Yes

  No

• Circuit protection size.

  Select 10A 16A 20A 25A 32A 40A

  • 10A
  • 16A
  • 20A
  • 25A
  • 32A
  • 40A

• Active conductor size.

  Select 1mm 1.5mm 2.5mm 4mm 6mm 10mm 16mm

  • 1mm
  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm

• Earth conductor size.

  Select 1mm 1.5mm 2.5mm 4mm 6mm 10mm 16mm

  • 1mm
  • 1.5mm
  • 2.5mm
  • 4mm
  • 6mm
  • 10mm
  • 16mm

• Visual inspection.

  Compliant

  Not Compliant

  Test Not Conducted

• Earth continuity

  Compliant

  Not Compliant

  Test Not Conducted

• Insulation resistance to earth.

  Compliant

  Not Compliant

  Test Not Conducted

• Short circuit A to N

  Compliant

  Not Compliant

  Test Not Conducted

• Polarity test Active(s).

  Compliant

  Not Compliant

  Test Not Conducted

• Polarity test Neutral.

  Compliant

  Not Compliant

  Test Not Conducted

• Interconnection between circuits.

  Compliant

  Not Compliant

  Test Not Conducted

• RCD operation.

  Compliant

  Not Compliant

  Test Not Conducted

• Fault loop impedence

  Compliant

  Not Compliant

  Test Not Conducted

Exit Checks.

• MEN connection intact

  Yes

  No

  N/A

• Switchboard secure

  Yes

  No

  N/A

• Main switch and circuit protection devices returned to original state. Lockouts removed.

  Yes

  No

  N/A

• Alternate sources of energy returned to service.

  Yes

  No

  N/A

• Walk through visual undertaken

  Yes

  No

  N/A

• Covers, access panels, manhole etc. replaced.

  Yes

  No

  N/A

• Tools and equipment returned to the vehicle.

  Yes

  No

  N/A

• Person in control advised of departure

  Yes

  No

  N/A

DISCLAIMER

• 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.

• Inspector

  Sign