Electrical Test Sheet Details

The Niceic Electrical Certificate Form is an important document for both homeowners and professionals. It provides a clear record of the electrical installation in a property, and can be used as proof of compliance with electrical safety regulations. The form should be completed by a qualified electrician and submitted to Niceic for approval. Homeowners who are considering carrying out electrical work on their property should ensure that they use a qualified electrician who is registered with Niceic. This will ensure that the work is carried out safely and to the correct standards.

Here, you will discover some details about niceic electrical certificate PDF. You may browse it before filling out the gaps.

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 pdf, electrical test sheet, 18th edition eicr form, eicr certificate pdf

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

This certificate is not valid if the serial

ICN2/0335772

number has been defaced or altered

 

 

 

PARTICULARS OF THE ORGANISATION(S) RESPONSIBLE FOR THE ELECTRICAL INSTALLATION

DESIGN (1)

Organisation

Ú Eviva Services Ltd

 

 

 

 

 

 

 

 

 

 

 

 

 

Rapide Building

 

NICEIC Enrolment No

502741000

 

Address:

 

 

 

 

Ramp Road

 

 

(where appropriate)

 

 

 

 

 

 

 

 

 

 

Birmingham Airport

 

Branch number:

 

 

 

 

Birmingham

 

 

 

 

 

 

 

Postcode: B26 3QJ

(if applicable)

 

 

 

 

West Midlands

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESIGN (2)

Organisation

Ú

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NICEIC Enrolment No

 

 

Address:

 

 

 

 

 

 

 

 

(where appropriate)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Branch number:

 

 

 

 

 

 

 

 

 

 

 

 

 

Postcode:

(if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ú

Organisation

Eviva Services Ltd

 

 

 

 

CONSTRUCTION

 

 

 

 

 

 

 

 

 

Rapide Building

 

NICEIC Enrolment No

502741000

 

Address:

 

 

 

 

Ramp Road

 

 

(Essential Infomation)

 

 

 

 

 

 

 

 

 

 

Birmingham Airport

 

Branch number:

 

 

 

 

Birmingham

 

 

 

 

 

 

 

Postcode: B26 3QJ

(if applicable)

 

 

 

 

West Midlands

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSPECTION

Organisation

Ú Eviva Services Ltd

 

 

 

 

AND TESTING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rapide Building

 

NICEIC Enrolment No

502741000

 

Address:

 

 

 

 

Ramp Road

 

 

(where appropriate)

 

 

 

 

 

 

 

 

 

 

Birmingham Airport

 

Branch number:

 

 

 

 

Birmingham

 

 

 

 

 

 

 

Postcode: B26 3QJ

(if applicable)

 

 

 

 

West Midlands

 

 

 

 

 

 

 

SUPPLY CHARACTERISTICS AND EARTHING ARRANGEMENTS

Tick boxes and enter details, as appropriate

 

 

Duplicate (To be retained by the contractor)

Ý System Type(s)

Ý Number and Type of Live Conductors

Nature of Supply Parameters

Ý Characteristics of Primary Supply

TN-S á

TN-C-S

N/A

 

 

TN-C

N/A

 

 

TT

N/A

 

 

IT

N/A

 

 

1-phase (2 wire)

2-phase (3 wire)

3-phase (3 wire)

Other

a.c.

á

 

 

d.c.

 

1-phase

 

2 pole

N/A

N/A

(3 wire)

 

 

 

 

 

N/A

 

 

 

3 pole

 

 

 

 

 

N/A

3-phase

á

other

(4 wire)

 

 

 

 

 

 

 

 

 

 

N/A

N/A

N/A

Nominal Uþ Voltage(s):

Nominal frequency, fþ

Prospective fault current, IÙÄÅ

External earth fault loop impendance, Ñ ÄÅ

Number of supplies

400

50

>20

0.01

1

V

Hz

kA

É

UÒþ 230 V

Notes:

(1)by enquiry

(2)by enquiry or by measurement

(3)where more than one supply, record the higher or highest values

(4)by measurement

Overcurrent Protective Device(s)

BS(EN)

BS EN 60947-2 MCCB

 

 

 

 

 

 

 

 

 

 

 

Type

MCCB

 

 

 

 

 

 

 

 

 

 

 

 

Rated current630

 

A

Short-circuit

 

 

 

 

 

 

50

 

kA

capacity

 

 

 

 

 

 

PARTICULARS OF INSTALLATION AT THE ORIGIN

 

Tick boxes and enter details, as appropriate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ý Means of Earthing

 

 

 

 

 

Type:

 

Details of Installation Earth Electrode (where applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Distributor's

 

á

 

 

 

 

N/A

 

 

 

Location:

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(eg rod(s),tape etc)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

facility:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Installation

 

N/A

 

 

 

Electrode

N/A

(É)

 

Method of

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

resistance, RÕ:

 

measurement:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

earth electrode:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ý Main Switch or Circuit-Breaker

 

 

 

 

 

Maximum

 

 

 

 

 

Amps

 

 

 

 

 

 

 

Protection measure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

630

 

 

 

 

 

 

 

 

 

ADS

 

 

 

 

 

 

 

 

* (applicable only where an RCD is suitable and is used as a main circuit-breaker)

 

Demand (Load)

 

 

 

 

 

 

 

 

 

against electric shock:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type:

BS EN 60947-2 MCCB

 

Voltage

415

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V

 

 

 

 

 

 

 

 

Protective Bonding Conductors

 

 

 

 

 

 

 

 

 

 

BS(EN)

 

rating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rated

 

 

 

Earthing conductor

 

 

Main protective bonding conductors

 

 

Bonding of extraneous-conductive-parts (á)

 

 

 

 

 

No of

3

 

 

 

 

 

 

630

A

Conductor

Copper

 

 

Conductor

Copper

 

 

 

 

 

Water

á

Gas

á

 

 

 

 

 

 

Poles

 

 

 

 

current,IÐ

 

material

 

 

material

 

 

 

 

 

service

Service

 

 

 

 

 

 

Supply

 

 

 

 

 

RCD operating

 

 

Conductor

 

 

 

 

 

Conductor

 

 

 

 

 

 

 

Oil

 

Structural

á

 

 

 

 

 

 

conductors

Copper

 

 

N/A

mA

120

 

 

mmâ

 

70

 

 

mmâ

 

N/A

 

 

 

 

 

 

 

 

current, IÜ *

 

 

 

 

 

 

 

 

 

 

service

steel

 

 

 

 

 

 

material

 

 

 

 

 

 

 

 

 

 

 

csa

 

 

 

 

 

 

csa

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supply

 

 

 

 

mmâ

RCD operating

 

 

Continuity

á

 

(á)

 

 

Continuity]

á

 

(á)

 

 

 

Lightning

á

Other incoming

 

N/A

 

 

 

 

 

 

conductors

240

 

 

time (atIÜ )*

N/A

ms

 

 

 

 

 

 

 

protection

service(s)

 

 

 

 

 

 

 

csa

 

 

 

 

check

 

 

 

 

 

check

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMENTS ON EXISTING INSTALLATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Enter 'NONE' or, where appropriate, the page number(s)

 

 

 

 

 

 

 

 

 

 

In the case of an alteration or additions see Section 633

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of addional page(s) of comments on the existing installation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEXT INSPECTION

 

ò Enter interval in terms of years, months or weeks, as appropriate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ò

Five Years

 

 

 

 

 

 

 

 

 

 

I/We the designer(s), RECOMMEND that this installation is further inspected and tested after an interval of not more than

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ú Where the Approved Contractor responsible for the construction of the electrical installation has also been responsible for the designand the inspection and testing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of that installation, the 'Particulars of the Organisation responsible for the Electrical Installation' may be recorded only in the section entitled 'CONSTRUCTION'

 

 

 

 

 

 

 

Page 2 of

 

5

 

 

 

Ý Where a number of sources are available to supply the installation, and where the data given for the primary source may differ from other sources,

 

 

 

 

 

 

 

 

 

 

 

 

 

a separate sheet must be provided which identifies the relevant information relating to each additional source.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

This certificate is not valid if the serial

ICN2/0335772

number has been defaced or altered

 

 

 

 

SCHEDULE OF ITEMS INSPECTED

 

 

Ú See note below

 

PROTECTIVE MEASURES AGAINST ELECTRIC SHOCK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and fault protection

 

 

 

 

 

 

 

Extra low voltage

 

 

 

 

 

 

N/A

SELV

N/A

 

PELV

 

Double or reinforced insulation

 

 

 

 

 

 

 

Double or Reinforced Insulation

 

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

Basic Protection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

á

Insulation of live parts

á

 

 

Barriers or enclosures

 

 

 

 

 

 

N/A

Obstacles **

N/A

 

Placing out of reach **

 

 

 

 

 

 

 

 

 

 

 

Fault protection

Automatic disconnection of supply

áPresence of earthing conductor

áPresence of circuit protective conductors

áPresence of main protective bonding conductors

 

Presence of earthing arrangements for combined

N/A

protective and functional purposes

 

 

Presence of adequate arrangements for alternative

N/A

source(s), where applicable

 

N/A

FELV

 

 

áChoice and setting of protective and monitoring devices (for fault protection and/or overcurrent protection)

Non-conducting location **

N/A

Absence of protective conductors

Earth-free equipotential bonding**

 

 

Presence of earth-free equipotential bonding

N/A

Electrical separation

 

 

For one item of current using equipment

N/A

 

 

For more than one item of current using equipment**

N/A

 

 

 

 

 

Additional protection

 

 

 

 

 

 

 

 

Presence of residual current device(s)

N/A

 

 

 

 

 

áPresence of supplementry bonding conductors

**for use in controlled supervised/conditions only

Prevention of mutual detrimental influence

áProximity of non-electrical services and other influences

áSegregation of Band I and Band II circuits or Band II insulation used

áSegregation of safety Circuits

Identification

áPresence of diagrams, instructions, circuit charts and similar information

áPresence of danger notices and other warning notices

áLabelling of protective devices, switches and terminals

áidentification of conductors

Cables and Conductors

áSelection of conductors for current carrying capacity and voltage drop

áErection methods

áRouting of cables in prescribed zones

áCables incorporating earthed armour or sheath or run in an earthed wiring system, or otherwise protected against nails, screws and the like

Additional protection by 30mA RCD for cables concealed in walls

N/A (where required,in premises not under the supervision of skilled or instructed persons)

áConnection of conductors

áPresence of fire barriers, suitable seals and protection against thermal effects

General

áPresence and correct location of appropriate devices for isolation and switching

áAdequacy of access to switchgear and other equipment

N/A

Particular protective measures for special installations and locations

 

 

áConnection of single-pole devices for protection or switching in line conductors only

áCorrect connection of accessories and equipment

N/A

Presence of undervoltage protective devices

 

 

áSelection of equipment and protective measures appropriate to external influences

áSelection of appropriate functional switching devices

Duplicate (To be retained by the contractor)

SCHEDULE OF ITEMS TESTED

Ú See note below

 

 

áExternal earth fault loop impendance,Ñ

N/A

Installation earth electrode resistance, RÕ

 

 

áContinuity of protective conductors

áContinuity of ring final circuit conductors

áInsulation resistance between live conductors

áInsulation resistance between live conductors and Earth

N/A

Protection by seperation of circuits

 

 

N/A

N/A

á

á

á

N/A

á

á

Basic protection by barrier or enclosure provided during erection

Insulation of non-conducting floors or walls

Polarity

Earth fault loop impendance,Ö

Verification of phase sequence

Operation of resudual current devices

Functional testing of assemblies

Verification of voltage drop

SCHEDULE OF ADDITIONAL RECORDS* (See attached schedule)

Page No(s)

 

Note: Additional page(s) must be identified by the Electrical Installation Certificate serial number and page number(s).

ÚAll boxes must be completed. 'á' indicates that an inspection or a test was carried out and that the result was satisfactory. 'N/A' indicates that an

inspection or a test was not applicable to the particular installation

Page 3 of

5

*Where the electrical works to which this certificate relates includes the installation of a fire alarm system and/or an emergency lighting system (or a part of such system), this electrical safety certificate should be accompanied by the particular certificate(s) for the system(s).

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)

This certificate is not valid if the serial

ICN2/0335772

number has been defaced or altered

 

 

 

SCHEDULE OF CIRCUIT DETAILS

FOR THE INSTALLATION

CIRCUIT DETAILS

TO BE COMPLETED IN EVERY CASE

 

TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location of

 

 

 

 

 

 

 

 

 

 

 

 

 

VH50, Second Floor, Viscount

 

Supply to distribution

 

 

 

 

No of

 

Nominal

 

 

 

Landlords Distribution Panel T2 circuit 5L3

 

1

230

V

distribution board:

House

 

 

 

board is from:

 

phases:

voltage:

 

 

 

 

 

 

 

 

 

Associated

N/A

 

 

 

 

 

 

Overcurrent protective device for the distribution circuit:

 

 

RCD (if any): BS(EN)

 

 

 

 

 

 

 

 

 

 

 

 

Distribution

DB T2/5L3

 

Type:

BS 3871 MCB Type 2

Rating:

45

A

RCD No

N/A

N/A

mA

board designation:

 

BS(EN)

of poles:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Circuit designation

 

 

 

 

 

Circuit

Max. disconnection time permitted

 

Overcurrent protective devices

 

RCD

7671

 

 

 

 

 

conductors: csa

 

 

Circuit number and phase

 

Type of wiring

(see code)

 

Number of points served

Live

cpc

 

BS (EN)

 

 

 

 

BS

 

 

 

 

by BS 7671

 

 

Short-circuit capacity

Operating current, IÜ

Maximum Ö permitted by

 

Reference method

 

 

 

Type No

Rating

 

 

 

 

 

 

(mmâ)

(mmâ)

(s)

 

 

 

(A)

(kA)

(mA)

(É)

1 /L1

Ring Main

B/E

 

B

10

4.0

2.5

0.2

 

60898 MCB

C

32

10

N/A

0.72

 

 

 

2 /L1

Lighting

B

 

B

6

2.5

2.5

0.2

 

60898 MCB

C

16

10

N/A

1.44

 

 

 

3 /L1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 /L1

Duplicate (To be retained by the contractor)

Þ See Table 4A2 of Appendix 4 of BS 7671

 

 

 

 

 

CODES

FOR TYPE OF

WIRING

 

A

B

C

D

E

F

G

H

O (Other - please state)

 

 

 

 

 

 

 

 

 

PVC/PVC

PVC cable

PVC cables

PVC cables

PVC cables

PVC/SWA

XLPE/SWA

Mineral-

 

cables

in metallic

in non-matalic

in metallic

in non-metallic

cables

cables

insulated

 

 

conduit

conduit

trunking

trunking

 

 

cables

 

 

 

 

 

 

 

 

 

 

* In such cases, details of the distribution (sub-main) circuit(s), together with the test results for the circuit(s), must also be provided, on continuation schedules.

Page 4 of

5

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)

See next page for Schedule of Test Results

TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED

DIRECTLY TO THE ORIGIN OF THE INSTALLATION

Characteristics at this distribution board

 

 

Yes

 

 

 

 

 

Confirmation of supply polarity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* See note below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ö

*0.32

 

 

 

 

É

 

 

 

Operating times

At IÜ

 

N/A

 

 

ms

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of associated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*0.66

 

 

 

 

 

kA

 

 

 

 

RCD (if any)

At 5IÜ

 

N/A

 

 

ms

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Circuit impedances

 

 

 

 

 

 

 

 

 

 

numberCircuit

phaseand

 

 

 

 

 

 

 

 

 

 

 

 

 

(É)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ring final circuits only

 

 

 

All

circuits

 

 

 

 

 

 

 

 

 

 

 

 

(measured end to end)

 

 

(At least

one column

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to be

completed)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Line)

 

 

 

(Neutral)

 

 

(cpc)

 

Rã + Rå

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 /L1

 

 

0.15

 

 

 

 

015

 

 

 

0.25

 

 

 

0.10

 

 

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 /L1

 

 

N/A

 

 

 

 

N/A

 

 

 

N/A

 

 

 

0.21

 

 

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 /L1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4 /L1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This certificate is not valid if the serial

ICN2/0335772

 

number has been defaced or altered

 

 

 

 

 

SCHEDULE OF TEST RESULTS

 

FOR THE INSTALLATION

 

 

TEST RESULTS

 

 

 

 

Test instruments (serial numbers) used:

Earth fault loop

 

7014230

 

 

 

 

 

 

 

RCD

 

 

 

 

 

 

 

 

 

 

 

 

impedance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insulation

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

6027902

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

resistance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continuity

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

6027902

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insulation

resistance

 

 

 

Polarity

 

 

Maximum

 

 

 

RCD

operating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

measured earth

 

 

 

times

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

fault loop

at IÜ

 

 

at 5IÜ

Line/Line Ú

Line/Neutral Ú

Line/Earth Ú

Neutral/Earth Ú

 

 

 

 

impedance, Ö

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* See note below

 

 

 

 

 

(if applicable)

(MÉ)

 

(MÉ)

(MÉ)

(MÉ)

(á)

 

(É)

 

 

(ms)

 

 

 

(ms)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N/A

 

 

200

 

 

200

 

 

200

 

 

á

 

 

 

0.42

 

 

N/A

 

 

 

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N/A

 

 

200

 

 

200

 

 

200

 

 

á

 

 

 

0.53

 

 

N/A

 

 

 

 

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Duplicate (To be retained by the contractor)

*Note: Where the installation can be supplied by more than one source, such as primary source (eg public supply) and a secondary source (eg standby generator), the higher or highest values must be recorded.

TESTED BY

Signature:

 

Position:

Technical Engineer

 

 

 

 

 

Date of

 

 

 

 

 

 

Name:

A. COPE

16/04/2012

 

(CAPITALS)

testing:

 

 

 

 

 

 

 

 

 

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)

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