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MINOR ELECTRICAL INSTALLATION WORKS CERTIFICATE

GREEN NICEIC OVERPRINT FORM

9816elec all rights reserved electricalsoftware@hotmail.co.uk

PART 1: DETAILS OF THE MINOR WORKS Details of departures from BS 7671: 2001

Client:      
     
Date minor works
      Contract reference      
completed:
Description of the work carried out: Location/address

           

PART 2: DETAILS OF THE MODIFIED CIRCUIT


System of earthing TN-C-S TN-S TT TN-C IT

Method of protection against indirect contact      

Overcurrent protective device details BS(EN)       Type       Rating       A

Details of any residual current device (RCD) BS(EN)       Type       IΔn       mA
Details of wiring Reference
system used to Type       Csa of lives       mm2 Csa of cpc      mm2
method
modify the circuit Maximum disconnection time
Where protection against indirect contact is EEBAD:       Maximum Zs permitted by BS 7671       Ω
permitted by BS 7671

Any comments on existing installation:


     

PART 3: INSPECTION AND TESTING OF THE MODIFIED CIRCUIT AND RELATED PARTS † Essential inspections and tests

† Confirmation that necessary inspections have been undertaken (#) † Confirmation of adequacy of earthing (#)
† Circuit resistance:
R1+R2       Ω or R2       Ω † Confirmation of adequacy of equipotential bonding (#)

Insulation resistance: Phase/Phase*       MΩ † Confirmation of correct polarity (#)


(In a multi-phase circuit, record the lower or lowest Phase/Neutral* MΩ † Maximum measured earth fault loop impedance, Zs Ω
value, as appropriate)            
† Phase/Earth*       MΩ † RCD operating time at IΔn (if RCD fitted)       ms

† Neutral/Earth       MΩ RCD operating time at 5IΔn, if applicable       ms

Agreed limitations, if any, on the inspection and testing:


     

PART 4: DECLARATION

Date of any amendment to BS 7671:2001      

Name Company
     
(CAPITALS) trading title      
Signature
Address
Position in And Postcode
     
company      
Date
     

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