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    Notification Form 2022

    Uploaded by

    Ruksana Ramjeawan
    The document is a notification form from the Ministry of Public Works for an electrical installation inspection. It provides details of the installation such as the address, owner information, contractor details, type of work being done (e.g. new installation, rewiring), and description of the installation including supply type, main fuse/breaker size, earth cable size, type of wiring and fittings. The bottom section provides a checklist for inspection details and fees.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Notification Form 2022

    Uploaded by

    Ruksana Ramjeawan
    30 views2 pages
    The document is a notification form from the Ministry of Public Works for an electrical installation inspection. It provides details of the installation such as the address, owner information, contractor details, type of work being done (e.g. new installation, rewiring), and description of the installation including supply type, main fuse/breaker size, earth cable size, type of wiring and fittings. The bottom section provides a checklist for inspection details and fees.

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    Notification_form_2022

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    The document is a notification form from the Ministry of Public Works for an electrical installation inspection. It provides details of the installation such as the address, owner information, contractor details, type of work being done (e.g. new installation, rewiring), and description of the installation including supply type, main fuse/breaker size, earth cable size, type of wiring and fittings. The bottom section provides a checklist for inspection details and fees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views2 pages

    Notification Form 2022

    Uploaded by

    Ruksana Ramjeawan
    The document is a notification form from the Ministry of Public Works for an electrical installation inspection. It provides details of the installation such as the address, owner information, contractor details, type of work being done (e.g. new installation, rewiring), and description of the installation including supply type, main fuse/breaker size, earth cable size, type of wiring and fittings. The bottom section provides a checklist for inspection details and fees.

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    MINISTRY OF PUBLIC WORKS

    GOVERNMENT ELECTRICAL INSPECTORTATE DIVISION


    NOTIFICATION OF ELECTRICAL INSPECTION FOR INSTALLATION
    I hereby give notice that I intent to have the following electrical installation work done.

    ………………………………………………………………………………………………………………………………………………………………………………………………………
    Address (Lot#/Postal code, Street, City/Village, Region)

    Description: Domestic /Residential Business Special Occupancy Industrial Other


    Government Building
    Designer: Address, Telephone No.:

    ……………………………………………………….. ………………………………………………………………………………………………………
    Contractor: Address, Telephone No.:

    ………………………………………………………… ……………………………………………………………………………………………………..

    DETAILS OF WORK

    NEW INSTALLATION TEMPORARY METER CIRCUIT ADDING INCREASE LOAD

    REWIRING REINSPECTION OVERHAULING SHIFTING METER CIRCUIT


    On this work I have the honour of requesting that the same be inspected on completion.

    ……………………………………………………………………. …………………………………………………………….
    Owner, Consumer of Tenant Date

    Name & Address of


    Owner: ……………………………………………………………………………………………………………………………………………………………………………………..

    Name & Address of


    Tenant: ……………………………………………………………………………………………………………………………………………………………………………………..

    DESCRIPTION OF INSTALLATION

    Supply/Type of
    service …………………………………………………………………………………………………………………………………………………………
    (Voltage, phase and frequency)

    Size of Main Fuse/Circuit breaker……………………… Amps, Size of Service


    Entrance Conductor (“Pig-tail”) ……………………………

    Size of earth cable ……………………Size of Ground Lead …………………………Type of grounding……………………………

    Type of wiring: Surface Conduit (Concealed in concrete) Trunking Romex Cable Other………………………

    Type of fitting and appliances, etc.

    ………………………………………………………………………………………………………………………………………………

    Number of Circuits: …………………………………. Number of points: Number of lamps:

    120V……….. 240V…………. 3phase…………. …………………………………..

    FOR OFFICIAL USE ONLY

    CHECKED: The fees for inspection will be $ ...................... RECEIPT NUMBER: ………………………………………………………………

    Signature/Date: ……………………………………… / …………………………. SIGNATURE: …………………………………………………………………………

    Test: Date ( installation was tested ):

    Inspected by: ……………………………………………… …………………………………………………….

    Comments: …………………………………………………………………………………………………………………………………………………………………………………….

    The above job is completed and ready for inspection.

    ………………………………………………………. …………………………………………………………….
    Contractor Signature Licence Number

    FORM #__________________ JOB#_________________ CERTIFICATE #_______________________

    N.B. All forms must have contact number of Contractor.


    ELECTRICAL FEES FEE # Items TOTAL

    MOTORS, GENERATORS, RECTIFIERS, WELDERS, ARC LAMPS


    Per KVA $500

    WIRING
    TYPE OF INSTALLATION
    LIGHTS
    120 V
    120-127 V
    85-277 V
    240 V

    POWER OUTLET
    Simplex 120 V 20A
    /15A
    Simplex 240 V 20A/15A
    Duplex 120 V 15 A
    Duplex 120 V 20A
    Duplex 240 V 15A
    Duplex 240 V 20A
    SASO 120 V 15 A
    Double SASO 120 V 15
    A
    Double SASO 240 V 15
    A
    SASO 240 V 13A
    Double SASO 240 V 13
    A
    AC outlet with unit
    AC outlet only

    N.B. All forms must have contact number of Contractor.

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