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MULTIPLE WORKS
Certificate Reference:
2):
3):
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5):
2 INSTALLATION DETAILS
' System type and earthing arrangements: TN-C-S TN-S TT IT
Comments, if any, on existing installation, including adequacy of earthing and bonding arrangements (See Regulation
132.16):
3 ESSENTIAL TESTS
' See Page 2 for circuit details and test results.
Instrument Serial No(s):
Insulation
Multifunctional: Continuity: resistance:
Earth fault
loop impedance: RCD:
4 DECLARATION
' I/we CERTIFY that the said works do not impair the safety of the existing installation, that the said works have been designed,
constructed, inspected and tested in accordance with BS 7671:2008 (IET Wiring Regulations), amended to 2015, and that the said
works, to the best of my/our knowledge and belief, at the time of my/our inspection, complied with BS 7671 except as detailed in
Section 1 above.
Trading Title:
Address:
Registration Number
(if applicable):
Telephone Number:
Postcode:
Location:
Circuit
permitted by BS7671
permitted by BS7671
Overcurrent protective Insulation
Maximum measured
Minor Works identified
Reference Method
impedance Zs
Disconnection
Disconnection
Ring final circuits only
Maximum Zs
(one column to
time at 5l∆n
Type of wiring
current, l∆n
Live - Earth
Test button
(measured end to end)
points served
time at l∆n
be completed)
Live - Live
Circuit designation
Operating
in Section 1
operation
Capacity
Type No
Number of
Polarity
Live cpc BS(EN)
Rating
r1 rn r2 R1+R2 R2
A - PVC/PVC cables B - PVC cables in metallic conduit C - PVC cables in non-metallic conduit
D - PVC cables in metallic trunking E - PVC cables in non-metallic trunking F - PVC/SWA cables
This form is based on the model shown in Appendix 6 of BS 7671:2008 amended 2015. Ref: ___________ Page: 2 of 2