Appendix 17 - A4 Samples of ECA BS 7671: 2008 Certificates: Appendices
Appendix 17 - A4 Samples of ECA BS 7671: 2008 Certificates: Appendices
Appendix 17 - A4 Samples of ECA BS 7671: 2008 Certificates: Appendices
17
51
17
ELECTRICAL INSTALLATION
CERTIFICATE
(BS 7671: 2008)
This form meets the model
requirements of BS 7671: 2008
EI
INSTALLATION ADDRESS
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
New installation
Addition to an
existing installation
pl
Alteration to an
FOR DESIGN
existing installation
I/We being the person(s) responsible for the design 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 that 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: 2008 except for
the departures, if any, detailed as follows:
Details of departures from BS 7671: 2008 (Regulations 120.3, 120.4):
The extent of liability of the signatory or signatories is limited to the work described above as the subject of this Certificate.
For the DESIGN of the installation:
**(Where there is mutual responsibility for the design)
Sa
Signature: .............................................. Date: ......................... Name (IN BLOCK LETTERS): ................................................. Designer No. 1
Signature: .............................................. Date: ......................... Name (IN BLOCK LETTERS): ................................................. Designer No. 2**
FOR CONSTRUCTION
I/We being the person(s) responsible for the construction 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 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 except for the departures, if any, detailed as follows:
Details of departures from BS 7671: 2008 (Regulations 120.3, 120.4):
The extent of liability of the signatory or signatories is limited to the work described above as the subject of this Certificate.
For the CONSTRUCTION of the installation:
Signature: .............................................. Date: ......................... Name (IN BLOCK LETTERS): ................................................. Constructor
NEXT INSPECTION
I/We recommend that the installation should be re-inspected after an interval of not more than ..................................... months/years
09/07
Page 1 of
Designer (No.2)
(if applicable)
Constructor
Inspector
Address: ......................................................................................................................................................................................
........................................................................................ Postcode: ................................ Tel No: ...........................................
TN-S
TN-C-S
TT
IT
Alternative Source
of supply (to be detailed
on attached schedules)
a.c.
1-phase, 2 wire
2-phase, 3 wire
3-phase, 3 wire
Supply
Protective Device
Characteristics
d.c.
2-pole
Type ........................
3-pole
other
TN-C
pl
Earthing arrangement
3-phase, 4 wire
Means of Earthing
Distributors facility
Installation
earth electode
Maximum Demand
Sa
OTHER ...............................
rating .................. A
Nominal current
...........................................
..................................
...........................................
Earthing Conductor
material .......................
csa .......................mm2
material .......................
csa .......................mm2
To lightning protection
To structural steel
Location .............................................................
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
09/07
Page 2 of
Sa
Current ................................kA
Frequency ..........Hz
09/07
..........................................
Amps Per Phase
Maximum Demand
Main Switch
Current
Rating ..........................A
Supply Protection
Type .................................
Alteration ...................
Addition .....................
This certificate is not valid if the number has been defaced or altered.
SI
BS 7671: 2008
Requirements for
Electrical Installations
(17th Edition IEE Wiring Regulations)
Copyright The Electrical Contractors Association,
Earthing
or Details of Earth
CSA ..........mm2
CSA ..........mm2
SHEET 1 OF ____
Connections
Verified
Connections
Verified
Resistance ...............................................Ohms
Location ............................................................
Type ..................................................................
Supply Earth
Electrode
Copper
Steel
Aluminium
Copper
Steel
Aluminium
Earthing Arrangements
TN-S
TN-C-S
TT
Other ...........................
...............................................................................
...............................................................................
Position ................................................................
...........................................................................................................................
...........................................................................................................................
for .....................................................................................................................
Name .................................................................................................................
Location ...........................................................................
Impedance Ze ................Ohms
Prospective Fault
Voltage .................V
...........................................................................................................................................................................
...........................................................................................................................................................................
...........................................................................................................................................................................
I/We, being the person responsible for the Design, Construction, Inspection & 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 & Testing,
hereby CERTIFY that the said work for which I/we have been responsible is to the best of my knowledge
and belief in accordance with BS 7671: 2008 except for the departures, if any, detailed as follows:
pl
INSTALLATION ADDRESS:
DETAILS OF CLIENT
DESCRIPTION
09/07
COMMENTS ON INSTALLATION:
REF
CIRCUIT
RATING
AMPS
CONDUCTORS
E*
INSTALLED
REF
METHOD
LIVE
mm2
CPC
mm2
SIZE
DATE: .................................................................
SIGNED: ..............................................................
COMPANY: .........................................................
Ph - Ph
N-N
INSTRUMENT
CPC - CPC
L-L
M
L-E
M
P
O
L
A
R
I
T
Y
TYPE
RCD
SERIAL No.
REMARKS
SHEET 2 OF ____
ACCURACY VERIFIED
LOOP
TRIP
IMPEDANCE TIME
OTHER
Zs
AT 1n FUNCTION
ms
TESTS
EARTH
FAULT
pl
R1 + R2
RING
INSULATION
RESISTANCE
TEST RESULTS
CONTINUITY
NAME: ................................................................
TESTER DETAILS
TYPE
OVERCURRENT
DISC
DEVICE SHORTTIME
CIRCUIT
CAPACITY........kA
DISTRIBUTION BOARD
REF: ........................... LOCATION ......................................................................................................................
Sa
PROTECTION ...........Amps
TYPE .........................SIZE.................mm2
MW
pl
TN-S
EEBADS
TN-C-S
TT
OTHER ........................................................................
(411)
Type ......................................................
Rating ........................................A
Comments on existing installation, including adequacy of earthing and bonding arrangements: (see Regulation 131.8)
Sa
Insulation resistance:
Phase/neutral ................................................... M
(Where practical)
Phase/earth ...................................................... M
Neutral/earth ................................................... M
INSTRUMENTS USED
Manufacturer
Type
Serial Number
PART 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 (IEE Wiring Regulations), and that the said works, to the best of
my/our knowledge and belief, at the time of my/our inspection, compiled with BS 7671: 2008 except as detailed in part 1.
Name: ....................................................................................................
Signature: ............................................................................................
Position: ...............................................................................................
Address: ................................................................................................
................................................................................................................
................................................................................................................
09/07
Date: ....................................................................................................
DESCRIPTION
09/07
Sa
W*
No OF
POINTS
SERVED
TYPE
RATING
AMPS
OVERCURRENT
DISC
DEVICE SHORTTIME
CIRCUIT
CAPACITY........kA
E*
LIVE
mm2
CPC
mm2
SIZE
TYPE:.........................
INSTALLED
REF
METHOD
Ph - Ph
INSTRUMENT
N-N
CPC - CPC
L-L
M
P
O
L
A
R
I
T
Y
TYPE
SERIAL No.
REMARKS
SHEET 3 OF 3
ACCURACY VERIFIED
LOOP
TRIP
IMPEDANCE TIME
OTHER
Zs
AT 1n FUNCTION
ms
TESTS
EARTH
FAULT
RCD
DATE: .........................................................
SIGNED: ......................................................
COMPANY: .................................................
L-E
M
INSULATION
RESISTANCE
pl
R1 + R2
RING
CONTINUITY
PROTECTION: .............
CONDUCTORS:
TESTER DETAILS
NAME: ........................................................
TEST RESULTS
DISTRIBUTION BOARD
TYPE: ..........................
SUB-MAIN
COMMENTS ON INSTALLATION:
REF
CIRCUIT
JOB No:
PROJECT:
SCHEDULE OF
INSPECTIONS
(BS 7671: 2008)
PROJECT:
JOB No:
INSPECTED BY:
DATE:
Notes:
to indicate an inspection has been carried out and the result is satisfactory
to indicate an inspection has been carried out and the result is unsatisfactory
N/A to indicate an inspection is not applicable
LIM to indicate that, exceptionally, a limitation agreed with the person ordering the work prevented the inspection being carried out
SELV
(ii)
PELV
Reinforced insulation
Basic protection
(i)
(ii)
Barriers or enclosures
(iv)
Fault protection:
(b)
(c)
(a)
(b)
(c)
(d)
Identification of conductors
Erection methods
Connection of conductors
(ii)
Non-conducting location:
(iii)
(iv)
Sa
(i)
Identification
(iii) Obstacles
(a)
pl
Electrical Separation:
General
Presence and correct location of appropriate
devices for isolation and switching
Adequacy of access to switchgear and other equipment
Particular protective measures for special
installations and locations
Additional protection:
09/07