ra penachpetonRen aye TCO 1834 Poet = < aor’ Registered Electrical Contractor Periodic vrei Nhnten foran Electricabinst lation oe eere rernac eto ne TES 1824 Pg? = GUIDELINES FOR PERIODIC INSPECTION REPORT SCOPE “The report is intended to identify the condition ofthe fixed electrical installation, Note that fixed appliances e.g, night storage heaters, electric cookers are not part ofthe fed instalation. fis important thatthe person ordering the tet is aware f this Fetal the tester ‘Stout take reasonable steps to tecord that this particu Information has been given tothe person ordering the inspection, Cabies concealed ‘win tanking and conduits win the fabric ofthe Duldng or underground canrot in most circumstances be Inspected. This facts recorded tn the report. On page four observations and recommendations ate made based on a combination of vsual inspection and eectcal ‘messurements (eee pat 6, National Rules for Electrical installations, current edition) PROCEDURE All sections ofthe repert must be Completed The layout ofthe form is intended to feclitae a standard approach to mspection. Pease not all Instuetions carefully On pages we and tree any of the numbered questions 10" must be ferred to the cornment section of te report Ils permissibe In larger installations to uve sampling mathods fo ores 5 sockets, ee Its important however to ensure that fn adequate rtio an sampling method isied in order that an accurate fen, The comment section should aways state this ‘System nas been sed and the ratio inspected ‘Consideration shouldbe lven to using clear and unambiguous dations Inthe comment section ofthe report Keeping in ind that in ‘mort circumstances the section In question may be read By a non-ttnical person, Where addlonal comments need to be made please use ‘numbered continuation sheets, necoemexonons ro semen worse ©) PSSOMENDATONS FORE NONS, yay smu pc acess fragt art nn ee es ne rn once Se gal ecg ca a ence ena cpu peace g ee eee ee re pe i ange in cen oi ge ga DISTRIBUTION OF THE REPORTS ‘The criginal report (white copy) is Intended forthe person ordering the Inspection. The duplicate copy (yellow) shouldbe retained by the slecteal contractor responsible forthe reporternst ne} TEE 1824 Pgs = Dote__________ Periodic Inspection Report for an Electrical Installation PR No: REGISTERED CONTRACTOR DETAILS INSTALLATION DETAILS: Nome Occupant Name/Trading as Address, Saas Address — ely RegNo_______Inatalation Approx Age. COccupantin Atendance? Yes No recon nec enorme ‘Reason for Inspection? Insurance Inspection C) is If Other (specify). If patil inspection spc wat a te pet eo TYPEOF SYSTEMEARTHING:TNCS, TT, TNS, TT. Installation votage Single Phase () Three Phase) {1 wes[ ema yfiewsf yes] | ‘Max prospective $/C current__A Main solation** and overcurrent device type ?NONEQ) SWITCH FUSEQ MCBO McCBO. ‘Nominal rng ‘A * Ifa main RCD is used as a main isolating device the folowing detalls are required Rated current ee tet pace 1 orl]re rernac mete ne TEE 1824 Paget oe na Periodic Inspection Report for an Electrical Installation PR No: N.B. Any Questions answered “no” must be referred tain the comment section ofthis report, ALL. QUESTIONS MUST BE ANSWERED PLEASE TICK BOX AS APPROPRIATE 1, Have all electrical outlets / accessories been inspected? Yes No) DISTRIBUTION BOARD/S 2. Areall outlets / accessories undamaged? Yes) No) 15. Labelled correctly? Yes) No) 3. Are all live parts covered? Yes) NoL) 16. Located correctly? Yes) NoQ) EARTHING/BONDING DETAILS. © circu isolation & overcurrent device type? 4. ICTNCS is main protective conductor connected? use) MebO 6, Enh Electrode spection Chamber? Yes rods 19, Cheuit sequence comectforP.N, +E? Yee) No 7. HHyes... Is earth electrode visible? YesQ NoO 20, EDs 8. tyes... Is protective tape used? Yes NoO) Circuit description | Tripping current | Longest tripping time | 9. Hf visible is the earthir nductor the t size? Yes) NoW) Soh “ims as = Blectric Shower 30.mA ms| 10. tsa ain equptenl bonding carect? Yes No NACL 11 Al supplementary bonding coret connects ved? yea nea waa 12, Protective Earthng sleeved where appropriate? Yes. No NA 13, Polryeating of sve comet? Yes No 14, Al metalic svitches outlets earthed? Yes. Ne mrsal_l +ere rernac epee ne TEE 1924 Pgs a GENERAL 2 Eeecincinn miatean dna 1 oh tawrennsyncnt ath 2 concentra 1 9 faci erie BB ‘Are they correctly located? Yes ) NoO 8 ‘Ace they suitable for ther environment? Yes) No ‘QUALITY OF WORKMANSHIP: Very Good Satinfctory Poor Periodic Inspection Report for an Electrical Installation PR No: SUMMARY TEST DATA (Min Insulation Resistance a (Max Resistance of protective conductor__0 ‘Max foul oop impedance 0 and type and sie of mati device She. — INSTRUMENT SERIAL NUMBERS : Continuity Teter. Insulation Resistance Tester. Loop Impedance Tester ROD Tester DECLARATION I/We the undersigned are responsible forthe inspection and testing of the electrical installation described on page 1. of thi report. I/We confirm to the best of my/our knowledge that tests and observations made on pages 1,2, 3.4, & represent an accurate assessment within the lis specified of the condition of the electrical installation Inspected and tested by (Signed). (BLOCK CAPITALS)re renac mete ne TES 1825 Pg = Periodic Inspection Report for an Electrical Installation PR No: OBSERVATIONS AND RECOMMENDATIONS (tei bores as appropriate) (Note subject othe imitations specified on Page | of this report) NO REMEDIAL WoRk 15 REQUIRED {Q THE FOLLOWING OBSERVATIONS ARE MADE REFNO ‘COMMENTS (USE NUMBERED CONTINUATION SHEETS IF NECESSARY) aes © oe (© One ofthe folowing numbers, as appropriate is allocated to each ofthe observations made above to indicate to the person(s) responsible fr the installation the action recommended. (1) REQUIRES URGENT ATTENTION (2) REQUIRES INPROVEMENTS (3) REQUIRES SOME ATTENTION (4) DOES NGT COMPLY WITH CURRENT NATIONAL RULES FOR. ICAL INSTALLATIONS* ‘On the basis that al cbservations requiring “urgent attention’ have been completed without delay, I/We recommend that this elecricelinstalltion ftherinopected and tested afer an interval of mot more than. months / years (Fae al gu ey ay at et) signed Center No, Dat (BiSeic cava) ence aod ! aaa