Minor Electrical Installation Works Certificate printable pdf download

CERTIFICATE REFERENCE

CERTIFICATE REFERENCE: : : :

MINOR ELECTRICAL INSTALLATION WORKS CERTIFICATE

( ( ( ( REQUIREMENTS FOR ELECTRICAL INSTALLATIONS

REQUIREMENTS FOR ELECTRICAL INSTALLATIONS

REQUIREMENTS FOR ELECTRICAL INSTALLATIONS - - - - BS

REQUIREMENTS FOR ELECTRICAL INSTALLATIONS

BS 7671

7671

7671[ [ [ [ IEE WIRING REGULATIONS

IEE WIRING REGULATIONS

IEE WIRING REGULATIONS]) ]) ]) ])

To be used only for minor electric l work which does not include the provision of

new circuit

PART

PART 1 1 1 1 : : : : Description of minor works

Description of minor works

PART

Description of minor works

Details of departures, if any, from BS 7671:2008

Client

Date minor

Contract reference:

works completed:

Description of the minor works:

Location/Address of Minor Works:

PART

PART 2 2 2 2 : : : : Inst ll tion det ils

Inst ll tion det ils

PART

Inst ll tion det ils

TN-C-S

TN-S

TN-C

System type and earthing arrangements:

Protective measure(s) against electric shock:

Overcurrent protective device for the modified circuit:

BS(EN)

Type

Rating

61008 RCD

Residual current device (where appropriate):

BS(EN)

Type

IÅn

Wiring system (type):

Ref method:

csa (live):

mmý csa (cpc):

mmý

Where the measure for protection against electric shock is ADS, insert

Maximum Zs permitted:

maximum disconnection time permitted by BS 7671:

Comments, if any, on existing installation:

PART

PART 3 3 3 3 : : : : Inspection

Inspection & & & & Testing

Testing

PART

Inspection

Testing

Confirmation that necessary inspections have been undertaken

(Ö)

Adequacy of earthing

(Ö)

Circuit resistance (R1+R2)

Adequacy of bonding

(Ö)

Phase/Phase

MÀ

Polarity

(Ö)

Phase/Neutral

MÀ

Earth Fault Loop Impedance

Insulation Resistance:

Phase/Earth

MÀ

RCD operating time at In

Neutral/Earth

MÀ

RCD operating time at 5 In

Agreed limitations on the inspection and testing

PART

PART 4 4 4 4 : : : : Decl r tion

Decl r tion

I/Wecertify th t the electric l inst ll tion work, s det iled in p rt 1 of this certific te, do not imp ir the s fety of the existing inst ll tion, th t the s id works h ve been

designed,constructed, inspected nd tested in ccord nce with BS 7671:2008 * (IEEWiring Regul tions), mended to the d te shown* nd th t to the best of my/our

knowledge nd belief, t the time of my/our inspection, complied with BS 7671 except

s det iled in P rt 1 of this certific te.

Name:

For and behalf of:

Signature:

Address:

Position:

Date:

C.P.S Registration No:

This form is b sed on the model shown in Appendix 6 of BS 7671: 2008

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