Professional Documents
Culture Documents
The extent of liability of the signatory/signatories is limited to the work described above as the subject of this certificate.
For the DESIGN of the installation:
Name: IVAN BERRY Position: MD Signature: Date: 16/11/2009
CONSTRUCTION
I/We, being the person(s) responsible for the construction 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 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: 2008 amended to N/A except for the
departures, if any, detailed as follows:
Details of departures from BS 7671, as amended (Regulations 120.3, 120.4): None
The extent of liability of the signatory/signatories is limited to the work described above as the subject of this certificate.
For the CONSTRUCTION of the installation:
Name: IVAN BERRY Position: MD Signature: Date: 16/11/2009
The extent of liability 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:
Name: IVAN BERRY Position: MD Signature: Date: 16/11/2009
The extent of liability of the signatory/signatories 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:
Name: IVAN BERRY Position: MD Signature: Date: 16/11/2009
Address:
Registration Number:
Telephone Number:
Post Code:
Address:
Registration Number:
Telephone Number:
Post Code:
INSPECTION
AND TESTING Trading Title: Same as Above
Address:
Registration Number:
Telephone Number:
Post Code:
Nominal frequency, f:
TN-C-S (2 wire):
2-phase
N/A
(3 wire): 2 pole: N/A
Prospective fault
50 Hz BS(EN): 1361 Fuse HBC
TNC N/A
(3 wire): N/A 3 pole: N/A current, lpf: 1.1 kA Type: 2
Maximum Demand (Load): 550 Amps Protective measure(s) against electric shock: ADS
NEXT INSPECTION
I/We, the designer(s), RECOMMEND that this installation is further inspected and tested after an
5 Years
interval of not more than:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 2 of 21
SCHEDULE OF ITEMS INSPECTED Prevention of mutual detrimental influence
(a) Proximity of non-electrical services and other
Methods of protection against electric shock influences
Basic and fault protection: (b) Segregation of Band I and Band II circuits or use of
Band II insulation
(i) SELV N/A (ii) PELV
(ii) Non-conducting location ** Presence of fire barriers, suitable seals and protection
against thermal effects
N/A Absence of protective conductors General
Presence and correct location of appropriate devices for
(iii) Earth-free local equipotential bonding ** isolation and switching
Adequacy of access to switchgear and other equipment
N/A Presence of earth-free local equipotential bonding
(iv) Electrical Separation Particular protective measures for special installations
and locations
Provided for one item of current-using equipment
Connection of single-pole devices for protection or
switching in line conductors only
Provided for more than one item of current-using
N/A
equipment **
Additional protection:
Correct connection of accessories and equipment
** For use in controlled supervised/conditions only Selection of appropriate functional switching devices
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 3 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
First Floor Mains Room board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
n/a
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
D.B. 3
BS(EN):
60947-2 MCCB Rating: 100 A
of poles:
n/a RCD ln: n/a mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
1 L1 office lights A C 35 1.5 1.0 5 3871 2 16 10 N/A 2.05
1 L2 secure store office sockets A C 4 2.5 1.5 0.4 60898 C 20 10 N/A 1.15
1 L3 Access control spurs offices sockets A C 6 2.5 1.5 0.4 60898 C 20 10 N/A 1.15
2 L1 Toilet and staff room lights A C 16 1.5 1.0 5 3871 2 10 10 N/A 3.29
4 L1 Stock room lights L/H side D B 30 1.5 1.5 5 3871 2 10 10 N/A 3.29
5 L1 Stock room lights R/H side D B 28 1.5 1.5 5 3871 2 10 10 N/A 3.29
6 L2 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
7 L2 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
8 L1 Mains Cupboard Lift motor Lights A C 2 1.5 1.0 5 3871 2 10 10 N/A 3.29
8 L2 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
8 L3 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 4 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.28 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 0.90 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
1 L2 N/A N/A N/A 0.83 N/A N/A > 200 > 200 > 200
0.99 N/A N/A
1 L3 N/A N/A N/A 0.98 N/A N/A > 200 > 200 > 200
1.09 N/A N/A
2 L1 N/A N/A N/A 1.69 N/A N/A > 200 > 200 > 200
1.80 N/A N/A
2 L2 N/A N/A N/A 0.84 N/A N/A > 200 > 200 > 200
0.93 N/A N/A
2 L3 N/A N/A N/A 0.80 N/A N/A > 200 > 200 > 200
0.92 N/A N/A
3 L1 N/A N/A N/A 1.00 N/A N/A > 200 > 200 > 200
1.13 N/A N/A
3 L2 N/A N/A N/A 0.72 N/A N/A > 200 > 200 > 200
1.00 N/A N/A
3 L3 N/A N/A N/A 0.38 N/A N/A > 200 > 200 > 200
0.47 N/A N/A
4 L1 N/A N/A N/A 2.16 N/A N/A > 200 > 200 > 200
3.16 N/A N/A
4 L2 N/A N/A N/A 0.90 N/A N/A > 200 > 200 > 200
1.05 N/A N/A
4 L3 N/A N/A N/A 0.81 N/A N/A > 200 > 200 > 200
0.96 N/A N/A
5 L1 N/A N/A N/A 1.16 N/A N/A > 200 > 200 > 200
1.48 N/A N/A
5 L2 N/A N/A N/A 1.40 N/A N/A > 200 > 200 > 200
1.42 N/A N/A
5 L3 N/A N/A N/A 0.93 N/A N/A > 200 > 200 > 200
1.02 N/A N/A
6 L1 N/A N/A N/A 1.21 N/A N/A > 200 > 200 > 200
1.36 N/A N/A
6 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
6 L3 N/A N/A N/A 0.66 N/A N/A > 200 > 200 > 200 N/A 0.78 N/A N/A
7 L1 N/A N/A N/A 1.53 N/A N/A > 200 > 200 > 200 N/A 1.63 N/A N/A
7 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
7 L3 N/A N/A N/A 0.63 N/A N/A > 200 > 200 > 200 N/A 0.69 N/A N/A
8 L1 N/A N/A N/A 0.50 N/A N/A > 200 > 200 > 200 N/A 0.57 N/A N/A
8 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
8 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 5 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
First floor mains room board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
D.B. 3A
BS(EN):
60947-2 MCCB Rating: 100 A
of poles:
N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
9 L1 Rear corridor lights A C 12 1.5 1.0 5 3871 2 10 10 N/A 3.29
10 L1 Staff room dado sockets A C 2 2.5 1.5 0.4 60898 C 20 10 N/A 1.15
11 L1 Store room general power A C 2 2.5 1.5 0.4 60898 C 20 10 N/A 1.15
11 L3 Spare
12 L1 Spare
12 L2 Spare
12 L3 Spare
13 L1 Spare
13 L2 Spare
13 L3 Spare
14 L1 Spare
14 L2 Spare
14 L3 Spare
15 L1 Spare
15 L2 Spare
15 L3 Spare
16 L1 Spare
16 L2 Spare
16 L3 Spare
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 6 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.28 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 0.90 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
9 L2 N/A N/A N/A 1.72 N/A N/A > 200 > 200 > 200
0.72 N/A N/A
9 L3 N/A N/A N/A 0.69 N/A N/A > 200 > 200 > 200
0.67 N/A N/A
10 L1 N/A N/A N/A 0.90 N/A N/A > 200 > 200 > 200
0.95 N/A N/A
10 L2 N/A N/A N/A 0.34 N/A N/A > 200 > 200 > 200
0.35 N/A N/A
10 L3 N/A N/A N/A 0.26 N/A N/A > 200 > 200 > 200
0.32 N/A N/A
11 L1 N/A N/A N/A 0.41 N/A N/A > 200 > 200 > 200
0.45 N/A N/A
11 L2 N/A N/A N/A 0.69 N/A N/A > 200 > 200 > 200
0.67 N/A N/A
11 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
16 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
16 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
16 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 7 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
Mains room - first floor board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
D.B. A/C
BS(EN):
60947-2 MCCB Rating: 250 A
of poles:
N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
1 L1 AHU #1 G E 1 10 43 5 60898 C 50 10 N/A 0.46
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 8 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.29 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 1.1 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
1 L2 N/A N/A N/A 0.35 N/A N/A > 200 > 200 > 200
0.40 N/A N/A
1 L3 N/A N/A N/A 0.37 N/A N/A > 200 > 200 > 200
0.38 N/A N/A
2 L1 N/A N/A N/A 0.25 N/A N/A > 200 > 200 > 200
0.39 N/A N/A
2 L2 N/A N/A N/A 0.34 N/A N/A > 200 > 200 > 200
0.36 N/A N/A
2 L3 N/A N/A N/A 0.38 N/A N/A > 200 > 200 > 200
0.39 N/A N/A
3 L1 N/A N/A N/A 0.65 N/A N/A > 200 > 200 > 200
0.69 N/A N/A
3 L2 N/A N/A N/A 0.66 N/A N/A > 200 > 200 > 200
0.70 N/A N/A
3 L3 N/A N/A N/A 0.69 N/A N/A > 200 > 200 > 200
0.69 N/A N/A
4 L1 N/A N/A N/A 0.63 N/A N/A > 200 > 200 > 200
0.64 N/A N/A
4 L2 N/A N/A N/A 0.67 N/A N/A > 200 > 200 > 200
0.65 N/A N/A
4 L3 N/A N/A N/A 0.64 N/A N/A > 200 > 200 > 200
0.65 N/A N/A
5 L1 N/A N/A N/A 0.65 N/A N/A > 200 > 200 > 200
0.66 N/A N/A
5 L2 N/A N/A N/A 0.67 N/A N/A > 200 > 200 > 200
0.68 N/A N/A
5 L3 N/A N/A N/A 0.63 N/A N/A > 200 > 200 > 200
0.65 N/A N/A
6 L1 N/A N/A N/A 0.50 N/A N/A > 200 > 200 > 200
0.53 N/A N/A
6 L2 N/A N/A N/A 0.49 N/A N/A > 200 > 200 > 200
0.57 N/A N/A
6 L3 N/A N/A N/A 0.55 N/A N/A > 200 > 200 > 200
0.58 N/A N/A
7 L1 N/A N/A N/A 0.59 N/A N/A > 200 > 200 > 200
0.59 N/A N/A
7 L2 N/A N/A N/A 0.60 N/A N/A > 200 > 200 > 200
0.60 N/A N/A
7 L3 N/A N/A N/A 0.59 N/A N/A > 200 > 200 > 200
0.60 N/A N/A
8 L1 N/A N/A N/A 0.53 N/A N/A > 200 > 200 > 200
0.54 N/A N/A
8 L2 N/A N/A N/A 0.52 N/A N/A > 200 > 200 > 200
0.54 N/A N/A
8 L3 N/A N/A N/A 0.39 N/A N/A > 200 > 200 > 200
0.54 N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 9 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
Mains room - first floor board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
D.B. A/C A
BS(EN):
60947-2 MCCB Rating: 250 A
of poles:
N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
9 L1 A/C #11 G E 1 4 23 5 60898 C 20 10 N/A 1.15
10 L1 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
10 L2 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
10 L3 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
11 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
11 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
11 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L3 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L1 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L2 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L3 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L1 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L2 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L3 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L1 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L2 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L3 Spare N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 10 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.29 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 1.1 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
9 L2 N/A N/A N/A 0.52 N/A N/A > 200 > 200 > 200
0.58 N/A N/A
9 L3 N/A N/A N/A 0.56 N/A N/A > 200 > 200 > 200
0.59 N/A N/A
10 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
10 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
10 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
11 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
11 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
11 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
12 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
13 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
16 L1 N/A N/A N/A 0.70 N/A N/A > 200 > 200 > 200
0.72 N/A N/A
16 L2 N/A N/A N/A 0.69 N/A N/A > 200 > 200 > 200
0.72 N/A N/A
16 L3 N/A N/A N/A 0.69 N/A N/A > 200 > 200 > 200
0.72 N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 11 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
Mains room - first floor board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
D.B. A/C B
BS(EN):
60947-2 MCCB Rating: 250 A
of poles:
N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
17 L1 A/C #7 G E 1 4 4 5 60947-2 C 20 10 N/A 1.15
N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 12 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.29 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 1.1 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
17 L2 N/A N/A N/A 0.44 N/A N/A > 200 > 200 > 200
0.46 N/A N/A
17 L3 N/A N/A N/A 0.40 N/A N/A > 200 > 200 > 200
0.42 N/A N/A
18 L1 N/A N/A N/A 0.34 N/A N/A > 200 > 200 > 200
0.34 N/A N/A
18 L2 N/A N/A N/A 0.45 N/A N/A > 200 > 200 > 200
0.45 N/A N/A
18 L3 N/A N/A N/A 0.37 N/A N/A > 200 > 200 > 200
0.41 N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 13 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
DB3-10L2 3 400 V
Server Room board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
D.B. UPS
BS(EN):
60898 MCB - Type C Rating: 32 A of poles: N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
1 UPS Group #1 A B 2 2.5 1.5 0.4 60898 C 16 10 N/A 1.44
13 Spare
14 Spare
15 Spare
16 Spare
17 Spare
18 Spare
19 Spare
20 Spare
21 Spare
22 Spare
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 14 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.36 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 0.67 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
2 N/A N/A N/A 0.21 N/A N/A > 200 > 200 > 200
0.30 N/A N/A
3 N/A N/A N/A 0.30 N/A N/A > 200 > 200 > 200
0.32 N/A N/A
4 N/A N/A N/A 0.99 N/A N/A > 200 > 200 > 200
0.96 N/A N/A
5 N/A N/A N/A 0.76 N/A N/A > 200 > 200 > 200
0.82 N/A N/A
6 N/A N/A N/A 0.70 N/A N/A > 200 > 200 > 200
0.71 N/A N/A
7 N/A N/A N/A 0.93 N/A N/A > 200 > 200 > 200
0.94 N/A N/A
8 N/A N/A N/A 0.84 N/A N/A > 200 > 200 > 200
0.93 N/A N/A
9 N/A N/A N/A 0.87 N/A N/A > 200 > 200 > 200
0.87 N/A N/A
10 N/A N/A N/A 0.78 N/A N/A > 200 > 200 > 200
0.82 N/A N/A
11 N/A N/A N/A 0.93 N/A N/A > 200 > 200 > 200
0.96 N/A N/A
12 N/A N/A N/A 0.84 N/A N/A > 200 > 200 > 200
0.88 N/A N/A
13 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
14 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
15 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
16 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
17 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
18 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
19 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
20 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
21 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
22 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 15 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
Ground floor electrical cupboard board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
DB1
BS(EN):
60947-2 MCCB Rating: 100 A
of poles:
N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
1 L1 General power above tego D B 10 4 4 0.4 60898 C 16 10 N/A 1.44
7 L1 CCTV room dedicated computer A B 4 2.5 1.5 0.4 60898 C 20 10 N/A 1.15
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 16 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.38 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 0.63 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
1 L2 N/A N/A N/A 0.99 N/A N/A > 200 > 200 > 200
0.99 N/A N/A
1 L3 N/A N/A N/A 0.51 N/A N/A > 200 > 200 > 200
0.59 N/A N/A
2 L1 N/A N/A N/A 0.89 N/A N/A > 200 > 200 > 200
1.09 N/A N/A
2 L2 N/A N/A N/A 0.70 N/A N/A > 200 > 200 > 200
0.70 N/A N/A
2 L3 N/A N/A N/A 0.14 N/A N/A > 200 > 200 > 200
0.51 N/A N/A
3 L1 N/A N/A N/A 0.53 N/A N/A > 200 > 200 > 200
0.61 N/A N/A
3 L2 N/A N/A N/A 0.90 N/A N/A > 200 > 200 > 200
0.92 N/A N/A
3 L3 N/A N/A N/A 0.86 N/A N/A > 200 > 200 > 200
0.99 N/A N/A
4 L1 N/A N/A N/A 0.98 N/A N/A > 200 > 200 > 200
0.97 N/A N/A
4 L2 N/A N/A N/A 1.83 N/A N/A > 200 > 200 > 200
1.87 N/A N/A
4 L3 N/A N/A N/A 1.65 N/A N/A > 200 > 200 > 200
1.68 N/A N/A
5 L1 N/A N/A N/A 0.53 N/A N/A > 200 > 200 > 200
0.53 N/A N/A
5 L2 1.10 0.85 0.50 0.86 N/A N/A > 200 > 200 > 200
0.62 N/A N/A
5 L3 1.03 0.90 0.42 1.35 N/A N/A > 200 > 200 > 200
0.74 N/A N/A
6 L1 0.30 0.36 0.32 0.40 N/A N/A > 200 > 200 > 200
0.47 N/A N/A
6 L2 N/A N/A N/A 0.32 N/A N/A > 200 > 200 > 200
0.39 N/A N/A
6 L3 N/A N/A N/A 0.38 N/A N/A > 200 > 200 > 200
0.38 N/A N/A
7 L1 N/A N/A N/A 0.49 N/A N/A > 200 > 200 > 200
0.46 N/A N/A
7 L2 N/A N/A N/A 0.37 N/A N/A > 200 > 200 > 200
0.45 N/A N/A
7 L3 N/A N/A N/A 0.92 N/A N/A > 200 > 200 > 200
1.01 N/A N/A
8 L1 N/A N/A N/A 0.96 N/A N/A > 200 > 200 > 200
0.99 N/A N/A
8 L2 N/A N/A N/A 0.73 N/A N/A > 200 > 200 > 200
0.96 N/A N/A
8 L3 N/A N/A N/A 1.03 N/A N/A > 200 > 200 > 200
1.04 N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 17/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 17 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
Ground floor electrical cupboard board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
DB2
BS(EN):
60947-2 MCCB Rating: 100 A
of poles:
N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
1 L1 Retail Lights - via marshalling box D B 4 4 4 5 60898 C 16 10 N/A 1.44
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 18 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.21 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 1.1 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
1 L2 0.29 0.17 0.23 0.19 N/A N/A > 200 > 200 > 200
0.41 N/A N/A
1 L3 0.18 0.26 0.24 0.17 N/A N/A > 200 > 200 > 200
0.36 N/A N/A
2 L1 N/A N/A N/A 0.40 N/A N/A > 200 > 200 > 200
0.61 N/A N/A
2 L2 0.54 0.48 0.47 0.31 N/A N/A > 200 > 200 > 200
0.40 N/A N/A
2 L3 N/A N/A N/A 0.42 N/A N/A > 200 > 200 > 200
0.67 N/A N/A
3 L1 0.65 0.62 0.59 0.36 N/A N/A > 200 > 200 > 200
0.57 N/A N/A
3 L2 0.47 0.45 0.51 0.23 N/A N/A > 200 > 200 > 200
0.44 N/A N/A
3 L3 N/A N/A N/A 0.43 N/A N/A > 200 > 200 > 200
0.63 N/A N/A
4 L1 0.88 0.82 0.78 0.25 N/A N/A > 200 > 200 > 200
0.47 N/A N/A
4 L2 N/A N/A N/A 0.39 N/A N/A > 200 > 200 > 200
0.60 N/A N/A
4 L3 N/A N/A N/A 0.35 N/A N/A > 200 > 200 > 200
0.58 N/A N/A
5 L1 N/A N/A N/A 0.29 N/A N/A > 200 > 200 > 200
0.57 N/A N/A
5 L2 N/A N/A N/A 0.30 N/A N/A > 200 > 200 > 200
0.54 N/A N/A
5 L3 N/A N/A N/A 0.31 N/A N/A > 200 > 200 > 200
0.55 N/A N/A
6 L1 N/A N/A N/A 0.37 N/A N/A > 200 > 200 > 200
0.58 N/A N/A
6 L2 0.51 0.49 0.52 0.25 N/A N/A > 200 > 200 > 200
0.48 N/A N/A
6 L3 0.78 0.81 0.77 0.23 N/A N/A > 200 > 200 > 200
0.52 N/A N/A
7 L1 N/A N/A N/A 0.92 N/A N/A > 200 > 200 > 200
1.13 N/A N/A
7 L2 N/A N/A N/A 0.88 N/A N/A > 200 > 200 > 200
1.02 N/A N/A
7 L3 N/A N/A N/A 1.01 N/A N/A > 200 > 200 > 200
1.24 N/A N/A
8 L1 N/A N/A N/A 0.79 N/A N/A > 200 > 200 > 200
0.95 N/A N/A
8 L2 0.40 0.39 0.38 0.22 N/A N/A > 200 > 200 > 200
0.52 N/A N/A
8 L3 N/A N/A N/A 0.17 N/A N/A > 200 > 200 > 200
0.32 N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 19 of 21
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
MCCB Panel distribution board 3 400 V
Lift Motor Room board is from: phases: Voltage:
Overcurrent protective device for the Associated RCD
N/A
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
Lift DB
BS(EN):
60947-2 MCCB Rating: 100 A
of poles:
N/A RCD ln: N/A mA
CIRCUIT DETAILS
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective
Reference Method
Maximum Zs
Circuit number
Type of wiring
points served
Circuit designation
Operating
Capacity
Type No
Number of
and phase
current
Live cpc BS(EN)
Rating
mm2 mm2 s A kA mA
1 L1 Lift 1 D B 1 10 10 5 3871 D 32 10 N/A 0.36
3 L1 Responsibility of lift company N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
3 L2 Responsibility of lift company N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
3 L3 Responsibility of lift company N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
4 L1 Responsibility of lift company N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
4 L2 Responsibility of lift company N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
4 L3 Responsibility of lift company N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 20 of 21
CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
N/A RCD: N/A
Confirmation of supply polarity impedance:
Insulation
Zs: 0.27 Operating times At ln: n/a ms Resistance: N/A Other: N/A
of associated RCD
lpf: 0.88 kA (if any) At 5ln: n/a ms Continuity: N/A Other: N/A
TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number
1 L2 N/A N/A N/A 0.01 N/A >200 > 200 > 200 > 200
0.27 N/A N/A
1 L3 N/A N/A N/A 0.01 N/A >200 > 200 > 200 > 200
0.26 N/A N/A
2 L1 N/A N/A N/A 0.03 N/A >200 > 200 > 200 > 200
0.30 N/A N/A
2 L2 N/A N/A N/A 0.03 N/A >200 > 200 > 200 > 200
0.26 N/A N/A
2 L3 N/A N/A N/A 0.03 N/A >200 > 200 > 200 > 200
0.29 N/A N/A
3 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
3 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
3 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
4 L1 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
4 L2 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
4 L3 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
TESTED BY
Name
(CAPITALS): ANDREW RUSSELL Position: Engineer
Date of
Signature: 16/11/2009
testing:
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: 5458 Page: 21 of 21
ELECTRICAL INSTALLATION CERTIFICATE
This safety Certificate has been issued to confirm that the electrical installation work to which it
relates has been designed, constructed and inspected and tested in accordance with British Standard
7671 (as amended) (The IEE Wiring Regulations).
You should have received an original Certificate and the contractor should have retained a duplicate
Certificate. If you were the person ordering the work, but not the user of the installation, you should
pass this Certificate, or a full copy of it including the schedules, immediately to the user.
The 'original' Certificate should be retained in a safe place and be shown to any person inspecting or
undertaking further work on the electrical installation in the future. If you later vacate the property,
this Certificate will demonstrate to the new owner that the electrical installation complied with the
requirements of British Standard 7671 at the time the certificate was issued. The Construction
(Design and Management) Regulations require that for a project covered by those regulations, a copy
of this Certificate, together with schedules is included in the project health and safety documentation.
For safety reasons, the electrical installation will need to be inspected at appropriate intervals by a
competent person. The maximum time interval recommended before the next inspection it stated on
Page 1 under 'Next Inspection'.
This Certificate is intended to be issued only for a new electrical installation or new new work
associated with an alteration or addition to an existing installation. It should not have been issued for
the inspection of an existing electrical installation. A 'Periodic Inspection Report' should be issued for
such a periodic inspection.
This Certificate is only valid if a Schedule of Inspections and Schedule of Test Results are appended.