Periodic Inspection Report For An Electrical Installation: A. Details of The Client

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PERIODIC INSPECTION REPORT FOR AN ELECTRICAL Report Reference:

INSTALLATION
Issued in accordance with British Standard BS 7671 - Requirements for Electrical Installations

A. DETAILS OF THE CLIENT


Client:

Address:

B. PURPOSE OF THE REPORT The Report must be used only for reporting on the condition of an existing installation.
Purpose for which
this report is
required:

C. DETAILS OF THE INSTALLATION


Installation
Address:

Description of premises: Domestic Commercial Industrial Other:


Evidence of alteration
Estimated age of electrical installation: years if yes, estimated age: years
or additions:
Date of previous inspection:
Electrical Installation Certificate No or previous Periodic Inspection
Records of installation available:
Report No:

Records held by:

D. EXTENT OF THE INSTALLATION AND LIMITATIONS OF THE INSPECTION AND TESTING


Extent of the electrical installation covered by this report:

Agreed limitations, if any, on the inspection and testing:

This inspection has been carried out in accordance with BS 7671: 2008 (IEE Wiring Regulations), as amended. Cables concealed
within trunking and conduits, or cables and conduits concealed under floors, in inaccessible roof spaces and generally within the
fabric of the building or underground, have not been visually inspected.

E. DECLARATION
I/We being the person(s) responsible for the inspection and testing of the electrical installation (as indicated by my/our signatures
below), particulars of which are described above (see C), having exercised reasonable skill and care when carrying out the
inspection and testing, hereby declare that the information in this report, including the observations (see F) and the attached
schedules (see H), provides an accurate assessment of the condition of the electrical installation taking into account the stated
extent of the installation and the limitations of the inspection and testing (see D).

I/We further declare that in my/our judgement , the said installation was overall in
condition (see G) at the time the inspection was carried out, and that it should be further inspected as recommended
(see I).
INSPECTION, TESTING AND ASSESSMENT BY:

Name: Position: Signature: Date:

This form is based on the model shown in Appendix 6 of BS 7671:2008 Page: 1 of 6

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F. OBSERVATIONS AND RECOMMENDATIONS FOR ACTIONS TO BE TAKEN
Referring to the attached schedules of inspection and test results, and subject to the limitations D:

There are no items adversely affecting electrical safety


or
The following observations and recommendations are made

Item No Description Code

One of the following numbers, as appropriate, is to be allocated to each of the observations made above to indicate to the person(s)
responsible for the installation the action recommended.
1. 'requires urgent attention' or 2. 'requires improvement' or
3. requires further investigation' or 4. 'does not comply with BS 7671:2008 (as amended)'
This does not imply that the electrical installation inspected is unsafe
Urgent remedial work
recommended for Items:
Corrective action(s)
recommended for Items:

G. SUMMARY OF THE INSPECTION AND SERVICING


General condition of the installation:

Date(s) of the inspection: Overall assessment of the installation:

This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: _______________ Page: 2 of 6

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H. SCHEDULES AND ADDITIONAL PAGES
Schedule of Items Inspected and Schedules of Items Tested: Page No 4

Schedule of Circuit Details for the Installation: Page No(s)

Schedule of Test Results for the Installation: Page No(s)

Additional pages, including additional source(s) date sheets: Page No(s)

The pages identified here form an essential part of this report. The report is valid only if accompanied by all the schedules and
additional pages identified above.

I. NEXT INSPECTION
I/We recommend that this inspection is further inspected and tested after an interval of not more than:

(Enter interval in terms of years, months or weeks, as appropriate)


provided that any items at F which have been attributed a Recommendation Code 1 (requires urgent attention) and
Code 2 (requires improvement) are remedied without delay and as soon as possible respectively. Items which have
been attributed a Recommendation Code 3 should be actioned as soon as practicable (see F).

J. DETAILS OF THE ELECTRICAL CONTRACTOR


Trading Title:
Address:
Registration Number:

Telephone Number:

Postcode:

K. SUPPLY CHARACTERISTICS AND EARTHING ARRANGEMENTS


System Type(s) Number and Type of Live Conductors Nature of Supply Parameters Characteristics of Primary
Supply Overcurrent
Nominal
TN-S ac: dc: Protective Device(s)
voltage(s): U: V Uo: V
1-phase 1-phase
TN-C-S (2 wire): 2 pole: Nominal frequency, f: Hz BS(EN):
(3 wire):
2-phase Prospective fault
TNC (3 wire): 3 pole: current, lpf: kA Type:
3-phase 3-phase External earth fault
TT Other:  Rated current: A
(3 wire): (4 wire): loop impedance, Ze:
Short-circuit
IT Other: Number of supplies: capacity: kA

L. PARTICULARS OF INSTALLATION AT THE ORIGIN


Means of Earthing Details of Installation Earth Electrode (where applicable)
Distributor's
facility: Type: Location:
Installation Electrode Method of
earth electrode: resistance, RA:  measurement:

Maximum Demand (Load): Protective measure(s) against electric shock:

Main Switch or Circuit-Breaker Earthing and Protective Bonding Conductors


Type Earthing conductor
BS(EN): Voltage rating: V Conductor Conductor Continuity
material: csa: mm2 check:
Number of Rated
poles: current, ln: A Main protective bonding conductors
Supply Conductor Conductor Continuity
RCD operating material: csa: mm2 check:
conductors mA
current: Bonding of extraneous-conductive parts
material:
Supply Lightning
RCD operating Water service: Oil service:
conductors mm2 time: ms protection:
csa: Gas service: Structural Steel: Other services:

This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: _______________ Page: 3 of 6

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SCHEDULE OF ITEMS INSPECTED Prevention of mutual detrimental influence
(a) Proximity of non-electrical services and other
Methods of protection against electric shock
influences
Basic and fault protection: (b) Segregation of Band I and Band II circuits or use of
Band II insulation
(i) SELV (ii) PELV
(c) Segregation of safety circuits
Double or reinforced insulation:
Identification
(iii) Double or Reinforced Insulation Presence of diagrams, instructions, circuit charts and
similar information
Basic protection:
Presence of danger notices and other warning notices
(i) Insulation of (ii) Barriers or
live parts enclosures Labelling of protective devices, switches and terminals
(iii) Obstacles ** (iv) Placing out
of reach **
Identification of conductors
Fault protection:
Cables and Conductors
(i) Automatic disconnection of supply Selection of conductors for current carrying capacity and
voltage drop
Presence of earthing conductor
Erection methods
Presence of circuit protective conductors
Routing of cables in prescribed zones or within
mechanical protection
Presence of main protective bonding conductors
Cables incorporating earthed armour or sheath, or run
Presence of earthing arrangements for combined
within an earthed wiring system, or otherwise adequately
protective and functional purposes
protected against nails, screws and the like
Presence of adequate arrangements for alternative
source(s), where applicable
Additional protection provided by 30mA RCD for cables in
FELV concealed walls (where required in premises not under
the supervision of skilled or instructed persons)
Choice and setting of protective and monitoring devices
(for fault protection and/or overcurrent protection)
Connection of conductors

(ii) Non-conducting location ** Presence of fire barriers, suitable seals and protection
against thermal effects
Absence of protective conductors General
Presence and correct location of appropriate devices for
(iii) Earth-free local equipotential bonding ** isolation and switching
Adequacy of access to switchgear and other equipment
Presence of earth-free local equipotential bonding

(iv) Electrical Separation Particular protective measures for special installations


and locations
Provided for one item of current-using equipment Connection of single-pole devices for protection or
switching in line conductors only
Provided for more than one item of current-using
equipment ** Correct connection of accessories and equipment
Additional protection:
Presence of undervoltage protective devices
Presence of residual current device(s)
Selection of equipment and protective measures
Presence of supplementary bonding conductors appropriate to external influences

** For use in controlled supervised/conditions only Selection of appropriate functional switching devices

SCHEDULE OF ITEMS TESTED Protection against direct contact by barrier or enclosure


provided during erection
External earth fault loop impedance, Ze
Insulation of non-conducting floors or walls
Installation earth electrode resistance, RA
Polarity
Continuity of protective conductors
Earth fault loop impedance, Zs
Continuity of ring final circuit conductors
Verification of phase sequence
Insulation resistance between live conductors
Operation of residual current device(s)
Insulation resistance between live conductors and earth
Functional testing of assemblies
Protection by separation of circuits
Verification of voltage drop

All boxes must be completed. 'tick' indicates that an inspection or test was carried out and that the result was satisfactory. 'X' indicates than an
inspection or test was carried out and the result is not satisfactory. 'N/A' indicates that an inspection or test was not applicable to the particular
installation. 'LIM' indicates that, exceptionally, a limitation agreed with the person ordering the work prevented the inspection or test being carried out.

This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: _______________ Page: 4 of 6

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TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED
TO BE COMPLETED IN EVERY CASE
DIRECTLY TO THE ORIGIN OF THE INSTALLATION
Location of distribution board: Supply to distribution No of Nominal
phases: Voltage: V
board is from:
Overcurrent protective device for the Associated RCD
distribution circuit: (if any) BS(EN):
Distribution board designation:
Type RCD No
BS(EN): Rating: A of poles: RCD ln: mA

CIRCUIT DETAILS
Circuit

permitted by BS7671

permitted by BS7671
Overcurrent protective

Max disconnect time


conductors: RCD
devices
csa

Reference Method

Maximum Zs
Circuit number

Type of wiring

points served
Circuit designation

Operating
Capacity
Type No
Number of
and phase

current
Live cpc BS(EN)

Rating
mm2 mm2 s A kA mA 
1

CODES FOR TYPE OF WIRING


A: PVC/PVC cables D: PVC cables in metallic trunking G: XLPE/SWA cables
B: PVC cables in metallic conduit E: PVC cables in non-metallic trunking H: Mineral-insulated cables
C: PVC cables in non-metallic conduit F: PVC/SWA cables O - Other:

This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: _______________ Page: 5 of 6

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CHARACTERISTICS AT THIS D.B. DETAILS OF TEST INSTRUMENTS
TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT Test Instruments (serial numbers) used:
CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION Earth fault loop
impedance: RCD:
Confirmation of supply polarity
Insulation
Zs:  Operating times At ln: ms Resistance: Other:
of associated RCD
lpf: kA (if any) At 5ln: ms Continuity: Other:

TEST RESULTS
Insulation resistance RCD Operating
Circuit impedances ohms Maximum
(record lower or lowest value) times
measured
All circuits earth fault
Ring final circuits only
Circuit number

(one column to be Polarity loop


(measured end to end)
completed) Line/ Line/ Line/ Neutral/ impedance
and phase

Line Neutral Earth Earth At ln At 5 ln


Zs
r1 rn r2 R1+R2 R2
(Line) (Neutral) (cpc) M M M M   ms ms
1

TESTED BY
Name
(CAPITALS): Position:
Date of
Signature:
testing:

This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: _______________ Page: 6 of 6

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