INSPECTION & TEST CERTIFICATE SERIAL NO:…………………….....

NAME OF THE CLIENT

INSTALLATION ADDRESS [ASSESSMENT NUMBER SHOULD BE STATED]

………………………………………… ………………………………………………

………………………………………… ..……………………………………………

DESCRIPTION AND EXTENT OF THE INSTALLTION New installation

Description of installation:
Existing installation
Extent of installation covered by this certificate: Addition/Alteration

Reconnection of
(Use continuation sheet if necessary) see continuation sheet No.
Supply
Construction Site
Supply

DECLARATION
I/We being the person (s) responsible for the inspection & testing of the electrical installation (as indicated by
my/ our signatures below), particulars of which are described above, have exercised reasonable skill and care
when carrying out the inspection & testing and hereby CERTIFY that the work for which I/ We have been
responsible is to the best of my / our knowledge and belief in accordance with BS 7671, amended to
……………………………. (Date) except for the departures, if any stated in this certificate.

Details of departures from BS 7671 (Regulations 120-02, 120-05)

………………………………………………………………………………………………….………………….

……………………………..………………………………………………………………………………………

The extent of liability of the signatory is limited to the work described above as the subject of this certificate.

For INSPECTION AND TEST of the installation:

Signatures:………………… Date:……………… Name………………….……………… Engineer

(IN BLOCK LETTERS)

ADDRESS:
…………………………………
…………………………………
…………………………………

NEXT INSPECTION
I/We recommend that this installation is further inspected and tested after an interval of not more than
……………. Years/ Months

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SUPPLY CHARACTERISTICS SERIAL NO:……………………
Earthing Arrangement Number and Type of Live Nature of Supply Parameters (for office use)
Conductors Supply Side (CEB)
TN-C Nominal voltage, U/U0(1)…………V Protective Device
a.c. d.c.
TN-S Characteristics
TN-C-S 1-phase, 2 wire 2-pole Nominal frequency, f(1) …………Hz
TT Type: Fuse/MCB/MCCB
2-phase, 3 wire 3-pole Prospective fault current, Ipfe(2) …A
IT
Nominal Current
Alternative source 3-phase, 3 wire other External loop impedance, Ze(2) ....Ω
of supply (to be detailed Rating: 15A/30A/60A
on attached schedules) 3-phase, 4 wire (Note: (1) by enquiry, (2) by enquiry
or by measurement) or………………A

B) INSTALLATION CHARACTERISTICS

1 EARTHING SYSTEM

i. Means of Earthing : Supply Authority’s facility

ii. Type & Material of the earth electrode: Consumer’s earth electrode

(e.g. rod (s) tape etc.) ………………………………………….

iii. Dimensions of earth electrode : …………………………sq.mm. & mm.

iv. Resistance of earth electrode : …………………………………………..

v. Location of earth electrode : …………………………………………..

vi. Size of earthing conductor : …………………………………sq. mm.

vii. Size of main equipotential bonding conductor:………………………….sq. mm.

viii. Main bonding check : …………………………………………..

Gas:………………. Water:……………………… Other:………………….

2. MAIN SWITCH OR CIRCUIT BREAKER

BS, Type and No. of poles …………….. Current rating ……………………. A Voltage rating …………V
Location ……………................................… Fuse rating or setting …………………………………...……A

3. SCHEDULES
The attached Inspection schedule and Test Results Schedule are part of this document and this report is valid
only these schedules are attached to it.
…………..No of inspection schedules Sheets and ………. No of test result Schedule Sheets are attached.

4. COMMENTS ON EXISTING INSTALLATION (in the case of an alteration or additions see Regulation 743-01-04)

………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………

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 SERIAL NO:………………….
INSPECTION SCHEDULE
1. Connection of conductors 8c (iii) Non-conducting location
2. Identification of conductors Absence of protective conductors
3. Routing of cables in safe zones or 8c (iv) Earth-free local equipotential bonding
protected against mechanical damage Presence of earth-free equipotential
4. Selection of conductors for current bonding conductors
and voltage drop 8c (v) Electrical separation
5. Connection of single-pole devices for 9. Prevention of mutual detrimental influence
protection or switching in phase Proximity of non-electrical services and
conductors only influences
6. Correct connection of socket-outlets Separation of band I and II
and lamp holders Circuit or Band II installation used
7. Presence of fire barriers and Separation of fire alarm and emergency
protection against thermal effects lighting cables

8. Method of protection against 10. Presence of correctly located appropriate

electric shock devices for isolating and switching

8a Protection against both direct 11. Presence of under voltage protective

and indirect contact devices where appropriate

SELV 12. Choice and setting of protective and

Limitation of discharge of energy monitoring devices (for protection against
indirect contact and / or over current)
8b Protection against direct contact
Residual current Devices
Insulation of live parts
Over current Devices
Barrier or enclosure
Obstacles 13. Labeling of protective devices, switches
and terminals
Placing out of reach
14. Selection of equipment and protective
PELV measures appropriate to external
8c Protection against indirect contact influences

8c (i) Earth equipotential bonding and 15. Adequacy of access to switchgear and
automatic disconnection of supply equipment

Presence of earthing conductors 16. Presence of danger notice and other

warnings
Presence of protective conductors
17. Presence of diagrams, instructions and
Presence of main equipotential necessary information
bonding conductors
Presence of supplementary 18. Erection methods
equipotential bonding conductors 19. Requirements of special locations
8c (ii) Use of class II equipment or
equivalent insulation

Mark  √ Satisfactory, X Unsatisfactory or N/A Not applicable in the appropriate box 

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Date:………………………….. Signature:……………
 TEST SCHEDULE
Engineer:………………………….…………………….. SERIAL NO:…………………………
Test date:……………………………………………….. Instruments used Make Model Serial No:
R.C.D Tester
Address of Installation 1. Type of Supply TN-S/TN-C-S/TT/IT/TN-C Continuiter Tester
2. Ze at origin:……………………...…. Ohms Insulation Tester
3. PSCC: ……………………………..kA Earth Electrode Tester
Others

Items to be disconnected before testing ………………………..

Description of
work
completed

Overcurrent Device Cable Test Results

#
Type Rating Size CPC Continuity Insulation Resistance (Megohms)
RCD Test

Remarks
Polarity
No. of
Circuit No.

Sensitivity
Points
Fuse/MCB/M
* ** Phase to / Phase to / Neutral to / Check for
Time to Trip Time to Push
(A) (mm sq) (mm sq) (R1+R2) fault current Trip 5 Ir Button
CCB R2 (Ohms) Neutral Earth Earth 0.5 If
(ohms) Ir (ms) (ms) Test

4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

* For ring circuit indicate the ohm values for R1 & R2
** For a radial circuit indicate whether the continuity is OK or NOT
# RCD has to be tested independently if power is not avilable Signature:…………………………………… Date:…………………………………
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