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1 ELECTRCAL NSTALLATON CERTFCATE [BS 7671 :2008 as amended] REGSTERED MEMBER ~c Details of the Client Client/ Address UPTON VLLAGE HALL, STATON ROAD, UPTON, OXFORDSHRE Details of the nstallation Address: UPTON VLLAGE HALL, 5 ORCHARD CLOSE, UPTON, OXFORDSHRE, OX11 9JQ New Extent of the installation covered by this certificate THE NEW WORK AS QUOTED FOR. NEW SUPPLY AND CONSUMER UNTS. ADDTONS TO EXSTNG CRCUTS. M Add~ion M Atteration being the person(s) responsible for the design of the ejectrical installation (as indicated by my signature(&) below), particulars of which are described above, have exercised reasonable skill and care when carrying out the design hereby CERTFY that the desi n work for which have been responsible is, to the best of my knowledge and belief in accordance with BS 7671 :2008 amended to except for the departures, if any detailed as follows: Details of departures from BS 7671:2008 as amended (Regulations 120.3, 120.4): None L The extent of liability of the signatory or signatories is limited to the work described above as the subject of this certificate. For the DESGN of the installation: Signature Date Name Signature Date Name Designer 1 Designer 2 -(where thenl is mutual responsibility for the design) For Construction being the person(s) responsible for the construction of the electrical installation (as ndicated by my signature( a) below), particulars of which are described above, have exercised reasonable skd and care when carrying out the construction hereby CERTFY that the construction work for which have been responsible is, to the best of my knowledge and belief in accordance with BS 7671:2008 amended to except for the departures, if any detailed as follows: Details of departures from BS 7671:2008 as amended (Regulations 120.3, 120.4): None The extent of liability of the signatory is limited to the work described above as the subject of this certificate. For the CONSTRUCTON of the installation: Signature Date Name MR PAUL REED. Constructor For nspection and Testing being the person(s) responsible for the inspection and testing of the electrical installation (as indicated by my signature(s) below), particulars of which are described above, have exercised reasonable sklll and care when carrying out the inspection and testing hereby CERTFY that the work for which have been responsible is, to the best of my knowledge and belief in accordance with BS 7671 :2008 amended to except for the departures, if any detailed as follows: Details of departures from BS 7671:2008 as amended (Regulations 120.3, 120.4): None L ~--~ The extent of liability of the signatory is limited to the work described above as the subject of this certificate. For the NSPECTON and TEST of the installation: Signature Date Name MR PAUL REED. nspector Reviewed by Name MR PAUL REED Qualified Supervisor Copyright AMTECH Power Software Ltd , FastTest (17th Edition] v10.1.1, M A Wantage Ltd Page 1 of 10

2 , Registration Number Tel DESGNER (No 2) Address Registration Number Tel CONSTRUCTOR Organisation M & A ELECTRCALS. Address 30 MARKET PLACE, WANTAGE, OXFORDSHRE, OX12 8AJ Tel ECA Registration Number NSPECTOR Organisation M & A ELECTRCALS. Address 30 MARKET PLACE, WANTAGE, OXFORDSHRE, OX12 8AJ Tel ECA Registration Number Supply Characteristics and Earthing Arrangements System Type(s) Number and Type of Live Conductors Nature of Supply Parameters Supply protective device characteristics TN-S a. c../ d.c. TN-C-S Nominal Voltage 1-Phase 1-Phase 2 Nominal (2wire) (3wire) Pole frequency u v Hz BS(EN) 1361 Fuse HBC TN-C TT T 2-Phase 3 Prospective (3wire) Pole fault current 3-Phase (3wire) lpf Extemalloop Ze impedence Number of Supplies ka 0 2 Nominal current rating Short circuit Capacity A ka Particulars of nstallation Referred to in the Cert1f1cate Means of Earthing Distributor's facility nstallation earth electrode Type (eg rod{s), tape etc) Electrode resistance,r A Details of nstallation Earth Electrode (where applicable) 0 Location Method of measurement Main Switch or Circuit-Breaker Protective measure(s) agains... t... el,_ec.-tr,.l,_c.-s-. ho.-c..,k......, Voltage Type BS(EN>~..-_6_o_94_7_-3_---l Rating v No. of poles 2 Supply Conductors material Supply Conductors GSA Current Rating RCD operating current, M RCD operating timeat,m A ma ms Earthing Conductor material: csa: Continuity check 2 mm Main Protective bonding conductors material: csa Continuity check./ Oil Steel 2 mm THERE S A COMBNATON OF CABLE COLOURS [OLD & NEW] or change of tenancy Copyright AMTECH Power Software ltd , FastTest (17th Edition] v10.1.1, M A Wantage Ltd Page 2 of 10

3 Schedule of tems nspected PROTECTVE MEASURES AGANST ELECTRC SHOCK Basic and fault protection SELV PELV Basic Protection Double or Reinforced insulation nsulation of live parts Barriers or enclosures Obstacies Placing out of reach Fault protection Automatic disconnection of supply./ Presence of earthing conductor Prevention of mutual detrimental influence dentification Proximity of non-electrical services and other influences Segregation of Band and Band circuits and Band insulation used Segregation of safety circuits Presence of diagrams, instructions, circuit charts and similar information Presence of danger notices and other warning notices Labelling of protective devices, switches and terminals dentification of conductors Cables and conductors Selection of conductors for current-carrying capacity and voltage drop Erection methods Presence of circuit protective conductors Presence of main protective bonding conductors Presence of earthing arrangements for combined protective and functional purposes Presence of adequate arrangements for alternate sources, where applicable FELV Choice and setting of protective and monitoring devices (for fault protection and/or over"current protection) Non-conducting location ** Absence of protective conductors Earth-free local equipotential bonding ** Electrical Separation Addtionalprotection Presence of earth-free equipotential bonding For one tem of current-using equipment For more than one tem of current-using equipment General Routing of in prescribed zones Cables incorporating earthed armour or sheath, or run in an earthed wiring system, or otherwise protected against nails, screws and the like Additional protection by 30mA RCD for concealed in walls (where required, in premises not under the supervison of skilled or instructed persons) Connection of conductors Presence of fire barriers,suitable seals and protection against thermal effects Presence and correct location of appropriate devices for solation and switching Adequacy of access to switchgear and other equipment Particular protective measures for special installations and locations Connection of single pole devices for protection or switching in line conductors only Correct connection of accessories and equipment Presence of undervoltage protective devices./ Presence of residual current devlce(s) Selection of equipment and protective measures appropriate to external influences Presence of supplementary bonding conductors Selection of appropriate functional switching devices **For use in controlled supervlsed/condltlon,::s:.:::;:!.....;;;;;;;;; Schedule of tems Tested + see note below Basic Protection by barrier or enclosure provided during erection External earth fault loop impedance, Ze nsulation of non-conducting floors and walls nstallation earth electrode resistance, RA Continuity of protective conductors Continuity of ring final circuit conductors nsulation resistance between live conductors nsulation resistance between live conductors and Earth Protection by separation of circuits Polarity Earth fault loop impedance, Verification of phase sequence Operation of residual current devices Functional testing of assemblies Verification of voltage drop Note: Additional page(s) must be identified by the Electrical nstallation Certificate serial number and page number(s) r to ndicate an nspection has been carried out and the result is satisfactory to ndicate the nspection is not applicable to a particular item x to ndicate an nspection has been carried out and the resultis not satisfactory (applicable for a periodic inspection only) Copyright AMTECH Power Software Ltd , FastTest [17th Edition] v10.1.1, M A Wantage Ltd Page 3 of 10

4 SCHEDULE OF CRCUT DETALS FOR THE NSTALLATON Board Details TO BE COMPLETED N EVERY CASE ONLY TO BE COMPLETED F THE DSTRBUTON BOARD S NOT CONNECTED DRECTLY TO THE ORGN OF THE NSTALLATON Location of distribution board KTCHEN CUPBOARD Supply to distribution board is from L Nominal Voltage Distribution Overcurrent protective device for the distribution circuit board designation DB 1-HEATNG ----' Type Rating BS(EN) L-N~/~A~------~-' Associated RCD (if any) BS(EN) RCDNo of poles RCD rating, ltt.n ma Circuit Details Circuit Circuit Type Refe.. No conductors number of renee of csa and wiring method points phase Circuit designation served Live cpc Max. permitted discon neelion time mm2 mm2 s Overcurrent protective device BS(EN) Rating Short No circuit cap a- city A ka Max. per- mitt- ed RCD Op. curr- ent tt. n n A B c D E F G H 0 PVC PVC PVC PVC PVC/PVC in in in in PVC/SWA metallic non-metallic metallic non-metallic conduit conduit trunking trunking XLPE/SWA Mineral insulated Copyright AMTECH Power Software Ltd , FastTest [17th Edition] v10.1.1, M A Wantage Ltd Page 4 of 10

5 SCHEDULE OF CRCUT TESTS FOR THE NSTALLATON ONLY TO BE COMPLETED F THE DSTRBUTON BOARD S NOT CONNECTED DRECTLY TO THE ORGN OF THE NSTALLATON TEST NSTRUMENTS (SERAL NUMBERS) USED l _jn Operating At An ms Earth fault loop RCD impedance nsulation resistance J l ~ times of associated lpf l JkA RCD (if any) At51 An ms ' (if applicable) Confirmation of., Continuity Supply polarity Circuit impedances nsulation resistance RCD operating p times n 0 Maximum measured At At Circuit Ring final circuits only All circuits a earth fault number (measured end to end) (At least one Line/ Line/ Line/ Earth/ r loop and column An 51 6 n Line Neutral Earth Neutral i impedance phase to be completed) t r1 rn r2 y (Line) (Neutral) (cpc) ~+R2 ~ MQ MQ MQ MQ n ms ms 1/S /S /S /S , /S , /S , Signature '~" LJ Name MR PAUL REED. ~.t.j~ Position QUALFED SUPERVSOR Date of testing 1 09/ o Copyright AM TECH Power Software Ltd , FastTest[17th Edition] v10.1.1, M A Wantage Ltd Page 5 of 10

6 SCHEDULE OF CRCUT DETALS FOR THE NSTALLATON - Board Details TO BE COMPLETED N EVERY CASE ONLY TO BE COMPLETED F THE DSTRBUTON BOARD S NOT CONNECTED DRECTLY TO THE ORGN OF THE NSTALLATON Location of distribution board KTCHEN CUPBOARD Supply to distribution board s from L ~ No of phases Nominal Voltage Associated RCD (if any) BS(EN) RCDNo of poles Distribution board designation ---~ Type BS(EN). Rating RCD rating, t.n ma CirCUit Details Circuit Max. Circuit Type Rete- No conductors pernumber of renee of csa mitted and wiring method points discphase Circuit designation served on neecpc tion Live time mm 2 mm2 s Overcurrent protective device BS(EN) Type Rating Short No circuit cap a- city A ka Max. per- mitt- ed RCD Op. curr- ent ll. n n A B c D E F G H 0 PVC PVC PVC PVC PVC/PVC in in in in PVC/SWA metallic non-metallic metallic non-metallic conduit conduit trunking trunking XLPE/SWA Mineral insulated Copyright AMTECH Power Software Ltd , FastTest (17th Edition] v10.1.1, M A Wantage Ltd Page 6 of 10

7 -SCHEDULE OF CRCUT TESTS FOR THE NSTALLATON ONLY TO BE COMPLETED F THE DSTRBUTON BOARD S NOT CONNECTED DRECTLY TO THE ORGN OF THE NSTALLATON TEST NSTRUMENTS (SERAL NUMBERS) USED Earth fault loop l RCD [ _j impedance nsulation resistance l l n Operating Atl ~n ms times of associated lpf lka RCD (if any) At51 ~n ms 1 Confirmation of (if applicable) - ~ Continuity Supply polarity Circuit impedances nsulation resistance RCD operating p times n 0 Maximum measured At At Circuit Ring final circuits only All circuits a earth fault number (measured end to end) (At least one Line/ Line/ Line/ Earth/ r loop and column ~n 51 ~n Line Neutral Earth Neutral i impedance phase to be completed) ~ ~/A. t r1 rn r2 y (Line) (Neutral) (cpc) ~+R2 ~ MQ MQ MQ MQ n ms ms 1/S /S /S /S ~ /S ~ /S ~ /S ~ /S ~ /S /S /S /S /S /S ~ /S ~ Signature ~~ t Name ~ R PAUL REED. Position ~ LFED SUPERVSOR Date of testing /02/201 o.j Copyright AMTECH Power Software ltd , FastTest [17th Edition) v10.1.1, M A Wantage ltd Page 7 of 10

8 SCHEDULE OF CRCUT DETALS FOR THE NSTALLATON Board Details TO BE COMPLETED N EVERY CASE ONLY TO BE COMPLETED F THE DSTRBUTON BOARD S NOT CONNECTED DRECTLY TO THE ORGN OF THE NSTALLATON Location of distribution board KTCHEN CUPBOARD Supply to distribution board is from L ' Nominal Voltage Distribution Overcurrent protective device for the distribution circuit board designation DB 3-HEA TNG Type BS(EN) "-N- /A. Rating Associated RCD (if any) BS(EN) RCDNo of poles RCD rating, lt.n Circuit Details Circuit Max. Circuit Type Refe- No conductors pernumber of renee of csa mitted and wiring method points discphase Circuit designation served on neecpc tion Live time mm2 mm2 s Overcurrent protective device BS(EN) No Rating A Short circuit cap a- city ka RCD Max. per- mitt- ed Op. curr- ent 1 t. n n A B c D E F G H 0 PVC PVC PVC PVC PVC/PVC in in in in PVC/SWA metallic non-metallic metallic non-metallic conduit conduit trunking trunking XLPE/SWA Mineral insulated Copyright AMTECH Power Software Ltd , FastTest [17th Edition] v10.1.1, M A Wantage Ltd Page 8 of 10

9 SCHEDULE OF CRCUT TESTS FOR THE NSTALLATON ONLY TO BE COMPLETED F THE DSTRBUTON BOARD S NOT CONNECTED DRECTLY TO THE ORGN OF THE NSTALLATON TEST NSTRUMENTS (SERAL NUMBERS) USED Earth fault loop J RCD ~~ _j L n Operating At1 6 n ms times of impedance associated lpf _jka RCD (if any) At51 t.n ~ ms nsulation resistance (if applicable) Confirmation of Supply polarity./ Continuity J [ Circuit impedances nsulation resistance RCD operating p times n 0 Maximum measured At At Circuit Ring final circuits only All circuits a earth fault number (measured end to end) (At least one Line/ Line/ Line/ Earth! r loop and column lt.n 51 t. n Line Neutral Earth Neutral i impedance phase to be completed) t r1 rn r2 y ~+R2 Rz (Line) (Neutral) (cpc) Mn Mn Mn Mn n ms ms 1/S / /S /S /S / /S /S / Name i MR PAUL REED. Date of testing Signature ~ ~~ ~ Position QUALFED SUPERVSOR 1 09/ Copyright AMTECH Power Software Ltd , FastTest (17th Edition] v10.1.1, M A Wantage Ltd Page 9 of 10

10 ELECTRCAL NSTALLATON CERTFCATE GUDANCE NOTES FOR RECPENTS This safety certificate has been issued to confirm that the electrical installation work to which it relates has been designed, constructed and inspected in accordance with British Standard 7671 :2008 (as amended) (The lee Wiring Regulations). You should have received an original Certificate and the contractor should have retained a duplicate Certificate.lf 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, iimmediately 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 electrical installation in the future.lf 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 and any schedules are 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 2 under "Next nspection". This Certificate is intended to be issued only for a new electrical installation or for new work associated with an alteration or addition to an existing installation. t should not have been issued for the inspection of an existing electrical installation.a "Periodic nspection Report" should be issued for such a periodic inspection. The certificate is only valid if a test result schedule including test results is appended. These notes are based on those seen in Appendix 6 BS 7671 :2008 (as amended) Copyright AMTECH Power Software Ltd , FastTest [17th Edition] v10.1.1, M A Wantage Ltd

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