Niceic Electrical Certificate PDF Details

The Niceic Electrical Certificate form serves as a critical document within the realm of electrical installations, playing an essential role in ensuring the safety, compliance, and oversight of electrical work. This comprehensive form is issued under the stringent guidelines of the British Standard 7671 - Requirements for Electrical Installations, ensuring that every aspect of an electrical installation project is meticulously documented and certified by approved contractors or conforming bodies enrolled with NICEIC. The form carries details about the client and the specifics of the electrical installation, including the scope of work, the design, construction, inspection, and testing phases, encapsulating the meticulous nature of the work carried out. It emphasizes the importance of adherence to the BS 7671 regulations, with the form providing spaces for detailing any departures from these stipulations. Responsibility for each phase of the project is clearly delineated, with signatures from the responsible persons, thereby underscoring the accountability and precision expected in such critical work. Furthermore, the form includes specific sections for recording the electrical supply characteristics, earthing arrangements, and protective measures against electric shock, among other details, ensuring a thorough review and assessment of the electrical installation's safety and compliance. This certificate thereby becomes an indispensable document, validating the integrity and compliance of the electrical work with established standards, and serving as a tool for clients, contractors, and regulatory bodies to verify the safety and proficiency of electrical installations.

QuestionAnswer
Form NameNiceic Electrical Certificate
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other names18th edition test sheets, eicr certificate pdf, electrical test sheet example, electrical installation certificate template

Form Preview Example

This certificate is not valid if the serial

ICN2/0335772

number has been defaced or altered

 

 

 

ELECTRICAL INSTALLATION CERTIFICATE

Issued in accordance with British Standard 7671 - Requirements for Electrical Installations by an

Approved Contractor or Conforming Body enrolled with NICEIC, Warwick House,Houghton Hall Park,

Houghton Regis,Dunstable,LU5 5ZX

DETAILS OF THE CLIENT

Client /

Birmingham Airport Ltd, Property Services, Fourth Floor, Diamond House, Birmingham Airport

Postcode:

B26 3QJ

Address:

 

 

 

DETAILS OF THE INSTALLATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The installation is:

Address:

 

 

Room VH50, Second Floor, Viscount House, Birmingham Airport

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postcode:

B26 3QJ

 

 

New

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Extent of the

 

 

Installation of consumer unit, supply cable, lighting and power circuits in Room VH50 as specified in contract No. ES1476 only.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

An

á

 

installation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

addition

 

covered by this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

certificate:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

An

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

alteration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESIGN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I/We, being the person(s) responsible

for the design of the electrical

installation

 

(as

indicated

by

 

my/our signature(s)

 

below),

particulars

of

which

are

 

 

described above, having exercised reasonable skill and care when carrying

out the design, hereby CERTIFY

that

the

design

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

 

 

 

 

January 2012

 

 

 

 

 

 

 

(date)

 

 

 

 

 

 

 

 

except for the departures, if any, detailed as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Details of departures from BS 7671, as amended (Regulations 120.3,120.4):

 

None noted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the DESIGN of the installation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

** (Where there is divided responsibility for the design)

 

 

Signature

 

 

 

 

 

 

 

 

 

 

Date

 

17/04/2012

 

 

 

 

 

 

 

Name (CAPITALS)

 

D. LEE

 

 

 

 

 

 

 

 

 

 

 

Designer 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

Date

 

17/04/2012

 

 

 

 

 

 

 

Name (CAPITALS)

 

 

 

 

 

 

 

 

 

 

**

Designer 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONSTRUCTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I/We, being the person(s) responsible

for the construction of the electrical

installation

(as

indicated

by

my/our

signature

below),

particulars

of

which

are

 

 

described above, having exercised reasonable skill and care when carrying out the construction, hereby CERTIFY that the construction 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

 

 

 

 

January 2012

 

 

 

 

 

 

 

(date)

 

 

 

 

 

 

 

 

except for the departures, if any, detailed as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Details of departures from BS 7671, as amended (Regulations 120.3,120.4):

 

None noted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the CONSTRUCTION of the installation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

Date

 

17/04/2012

 

 

 

 

 

 

 

Name (CAPITALS)

 

R. SARTIN

 

 

 

 

 

 

 

 

 

 

Constructor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSPECTION AND TESTING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I/We, being the person(s) responsible for the inspection and testing of the electrical

installation (as indicated by my/our

signatures below), particulars of

which

are

 

 

described above, having exercised reasonable skill and care when carrying out

the inspection and testing, 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

 

 

 

 

January 2012

 

 

 

 

 

 

 

(date)

 

 

 

 

 

 

 

 

except for the departures, if any, detailed as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Details of departures from BS 7671, as amended (Regulations 120.3,120.4):

 

None noted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the INSPECTION AND TESTING of the installation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

Date

 

17/04/2012

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

17/04/2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qualified

 

 

Name (CAPITALS)

A. COPE

 

 

 

 

 

 

Inspector

 

 

 

 

Name (CAPITALS)

 

A. COPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SupervisorÚ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESIGN, CONSTRUCTION, INSPECTION AND TESTING *

 

 

 

 

*

This box to be completed only where the design, construction,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

inspection and testing have been the responsibility of one person.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I, being the person

responsible for the

design, construction,

inspection

and

testing

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 design,

 

construction,

inspection

and

testing,

hereby CERTIFY that the said work

for which I have been responsible is to the best of my knowledge and belief, in accordance with BS 7671, amended to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(date)

 

 

 

 

 

 

 

 

except for the departures, if any, detailed as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Details of departures from BS 7671, as amended (Regulations 120.3,120.4):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the DESIGN , the CONSTRUCTION and the INSPECTION AND TESTING of the installation:

 

 

 

 

 

 

 

 

 

 

Reviewed by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

Date

 

17/04/2012

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

17/04/2012

 

 

 

 

Name (CAPITALS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (CAPITALS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qualified

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SupervisorÚÚ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ÚWhere the inspection and testing have been carried out by an Approved Contractor, the inspection and testing results are to be reviewed by the registered Qualified Supervisor. ÚÚ Where the design, the construction, and the inspection and testing have been the responsibilty of one person, the inspection and testing results are to be reviewed by the

registered Qualified Supervisor.

Page 1 of

5

Duplicate (To be retained by the contractor)

This form is based on the model shown in Appendix 6 of BS7671 (as amended).

Published by the NICEIC a part of the Ascertiva Group © Copyright The Electrical Safety Council (Jan 2008)

Please see the 'Notes for Recipients' on the reverse of this page

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