Download Lighting Completion and Installation Certificate

Revised: Dec 2009
Lighting Completion and
Installation Certificate
Reference number ........./........
for office use only
ELECTRICAL INSTALLATION CERTIFICATE
(as prescribed in the Requirements for Electrical Installations – BS7671 [IEE Wiring Regulations])
(1) (see notes Page 5)
Details of the Installation:
New
Alteration to existing
Addition to Existing
Project Name:
.......................................................................................................... Client:
.......................................................................................................................
..
Address:....................................................................................................................
Design
I/We being the person(s) responsible (as indicated by my/our signatures below) for the
Design of the electrical installation, particulars of which are described on page 3 of this
form CERTIFY that the said work for which I/we have been responsible is to the best of
my/our knowledge and belief in accordance with current edition of BS7671
‘Requirements for Electrical Installations’ (IEE Wiring Regulations Seventeenth Edition)
except for the departures, if any stated in this Certificate.
The extent of liability of the Signatory is limited to the work described above as the subject to this Certificate.
For the DESIGN of the installation:
Name (Block Letters):
...................................
Position .....................................
For and on behalf of
..............................................................................................
Address
..............................................................................................
...............................................................................................
(2) Signature ...............................................
(3) Date ............................................
NEXT INSPECTION
I/We the designer(s) recommend that this installation is further inspected and tested after
an interval of not more than ............... years/months.
For Highway Power Supplies IEE Guidance Note 3, Recommendation 6 Years.
Page 1 of 5
Revised: Dec 2009
Lighting Completion and
Installation Certificate
Construction
I/We being the person(s) responsible (as indicated by my/our signatures below) for the
Construction of the electrical installation, particulars of which are described on page 3 of
this form CERTIFY that the said work for which I/we have been responsible is to the best
of my/our knowledge and belief in accordance with current edition of BS7671
Requirements for Electrical Installations’ (IEE Wiring Regulations Seventeenth Edition)
except for the departures, if any stated in this Certificate.
The extent of liability of the Signatory is limited to the work described above as the subject to this Certificate.
For the CONSTRUCTION of the installation:
Name (Block Letters):
...................................
Position .....................................
For and on behalf of
..............................................................................................
Address
..............................................................................................
...............................................................................................
..
(2) Signature ...............................................
(3) Date .........................................
Inspection and Test
I/We being the person(s) responsible (as indicated by my/our signatures below) for the
Inspection and Test of the electrical installation, particulars of which are described on
page 3 of this form, CERTIFY that the said work for which I/we have been responsible is
to the best of my/our knowledge and belief in accordance with current edition of BS7671
‘Requirements for Electrical Installations’ (IEE Wiring Regulations Seventeenth Edition)
except for the departures, if any stated in this Certificate.
The extent of liability of the Signatory is limited to the work described above as the subject to this Certificate.
For the INSPECTION AND TEST of the installation:
Name (Block Letters):
...................................
Position ......................................
For and on behalf of
...............................................................................................
Address
...............................................................................................
................................................................................................
..
(2) Signature ...............................................
(3) Date ..............................................
Page 2 of 5
Revised: Dec 2009
Lighting Completion and
Installation Certificate
Particulars of the Installation
(Delete or complete items as appropriate)
Highway Distribution Unit/Termination Pillar (6)
Pillar No.
.....................................................................
Supply Column No. ................................
Location
..................................................................................................................................................
Type of Installation
New/alteration/addition/to existing installation
Type of Earthing (312.3)
TN-C
TN-S
TN-C-S
TT
IT
(Indicate in the box)
Earth Electrode
Location
……………………………………………….……..
Resistance
…….……………….. ohms
(only as required)
Characteristics of the supply at the origin of the installation (313.1 )
No of Phases
................
ascertained
by
enquiry
determined
by
calculation
measured
Supply voltage
Volts
Prospective short-circuit current
kA
Earth fault loop impedence (Ze)
ohms
Maximum demand
Overcurrent protective device - Type BS
Amps per phase
…………………...
Rating ............ A
Main Switch or circuit breaker (537.1.4, 537.1.6) Type BS............ Rating............ A
(if an r.c.d rated residual operating current I n
No of Poles
.........
.......................... mA
Main protective bonding conductors (411.3.1.1, 411.3.1.2, 544.1.1): Size ……………………… mm2
Schedule of Test Results: Continuation
………………………………………………......……… pages
Details of departures (if any) from the wiring regulations (120.3, 120.4)...........................................................
……………………………………………….…………………………………...................…………………….........
Comments on existing installation where applicable (633.1, 633.2) ........………………………………………..
……………………………………………….………………………………………………..…………………………..
Page 3 of 5
TN-S
N
CPC
BS No.
Type
Size (mm)
Ph
Protective Device
Fuse
Conductor
In
MCB
Rating
Capacity
Y
N
Breaking
Continuity
Type
Rating
Ph - E
N-E
Satisfactory
Ph - N
Insulation Resistance
Line 3
Voltage
Line 2
Voltage
Y
N
Polarity
Full Load
A
M.Ohms
Factor
Satisfactory
Full Load
For the inspection and test of the installation :
:
Signature (2) :
Address
For and on behalf of :
Name (In Block Letters ) :
Date (3):
Position :
Optional Items
Location
Ohms
Remote
Current mA
Operating
V
Current
Remote End
R.C.D. / R.C.B.O.
Cir. No.
(5) Page
of
EFLI
Pages
Comments
Method of Measurement
G39 Authorisation Level
Power
Remote
Resistance
Earth Electrode Resistance (lightning protection only)
Area
I /We being the person(s) responsible (as indicated by my/our signatures below) for the Inspection and Test of the electrical installation,
particulars of which are described above. Certify that the said work which I /We have been responsible is to the best of my/our knowledge and
belief in accordance with the current edition of BS7671 “Requirements for Electrical Installations” (IEE wiring Regulations Seventeenth Edition).
except for departures, if any, stated in this Certificate.
The extent of liability of the signatory is limited to the work described above as the subject of this Certificate.
LINE REF.
Circuit
TN-C-S
MAIN FUSE
Line 1
Voltage
No.Poles
IT
kA
Rating
SWITCHED
P.S.C.C.
Ze (Ohms)
MAIN SWITCH
LIVE
E.F.L.I
SOURCE
WATTAGE
HEATER
Supply Column No.
PHASES
TT
Location
NUMBER OF
Type of Earthing
BONDING CONDUCTOR mm
MAIN PROTECTIVE
TN-C
SCOT POWER
SUPPLY
H.D.U No.
HIGHWAY DISTRIBUTION UNIT NETWORK
Voltage
Revised: Dec 2009
Lighting Completion and
Installation Certificate
Page 4 of 5
Revised: Dec 2009
Lighting Completion and
Installation Certificate
Explanatory Notes
1
This document is intended for the initial certification of a new installation or of an alteration or
addition to an existing installation and of an inspection. An original is to be given to the
client. The duplicate should be retained by the contractor.
2
The signatures appended are those of the competent persons authorised by the companies
executing the work of design, construction and inspection and testing respectively. A
signatory authorised to certify more than one category of work should sign in each of
the appropriate places.
3
Dates to be inserted.
4
Where particulars of the installation recorded herein constitute a sufficient schedule for the
purpose of Regulation 514.9.1 further drawings/schedules need not be provided. For other
installations the additional drawings/schedules listed below apply .
5
The page numbers of each sheet should be indicated together with the total number of sheets
involved.
6
The designer shall prepare Page 3 (Particulars of the Installation) and subsequent pages for
each Highway Distribution unit or Termination Pillar.
(4) Schedule of Additional Records
Drawing/Schedule
Description
ELECTRICAL INSTALLATION CERTIFICATE
GUIDANCE FOR RECIPIENTS
This safety Certificate has been issued to confirm that the electrical installation work to which it relates has been designed,
constructed, inspected and tested in accordance with British Standard 7671 (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 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 is stated on page 1 under "NEXT INSPECTION".
This Certificate is intended to be issued only for a new electrical installation or for new work associated with an addition or
alteration to an existing installation. It should not have been issued for the inspection of an existing installation. A "Periodic
Inspection Report" should be issued for such an inspection.
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