Minor electrical installation works certificate v4.9 checklist
Minor electrical installation works certificate (bs 7671)
What does this form include?
This form contains 46 sections:
Part 1: Details of the Minor Works
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Description of the minor works:
DB location:
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Circuit Reference No.
Circuit Description:
Details of departures, if any, from BS 7671 (as amended):
Details of permitted exceptions (regulation 411.3.3) where applicable a risk assessment(s) must be at
Risk Assessment attached:
- Risk Assessment attached:
Part 2: Details of the Modified Circuit/ Installation Details
System earthing arrangements:
- System earthing arrangements:
Method of Fault Protection:
Protective device for the modified circuit:
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Rating (A):
Residual current device (if applicable):
I^n (mA)
Details of wiring system used to modify the circuit:
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Comments, if any, on existing installation, including adequacy of earthing and bonding arrangements (see regulation 132.16):
Part 3: Inspection and Testing of the Modified Circuit and Related Parts
Confirmation that necessary inspections have been undertaken.
- Confirmation that necessary inspections have been undertaken.
Circuit Resistance (Ω) - if Applicable:
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Continuity of ring final circuit conductors:
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cpc/cpc(Ω):
Insulation resistance. (In a multi-phase circuit, record the lower or lowest value, as appropriate):
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Instrumental Serial No(s).
Confirmation of the adequacy of earthing
- Confirmation of the adequacy of earthing
- Confirmation of the adequacy of protective bonding
- Confirmation of correct polarity:
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RCD operating time at l^n, if applicable (ms)
Satisfactory test button operation if applicable:
- Satisfactory test button operation if applicable:
Part 4: Declaration:
For and on behalf of:
Address and Postcode:
Name and signature:
Position
Date Date
NICEIC Assessment No 030533-002
MINOR ELECTRICAL INSTALLATION WORKS CERTIFICATE GUIDANCE FOR RECIPIENTS (to be appended to the Certif
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