his is a preview only - it is not a valid BS7671 certificate. This is a nly - it is not a valid BS7671 certificate. This is a preview only - it is

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1 certificte vlid the seril review - it vlid number hs been defced certificte. or ltered nly - it vlid ELECTRICAL certificte. INSTALLATION CERTIFICATE - it Issued in ccordnce with Brith Stndrd 7671 Requirements for Electricl Instlltions by n Approved Contrctor or ot Contrctor s vlid Reference Number certificte. - it vlid Conforming Body enrolled with NICEIC, Wrwick House, Houghton Hll Prk, Houghton Reg, Dunstble, LU5 5ZX CRN/ Ref DETAILS OF THE CLIENT ertificte. Client / - it vlid certificte. A. Smith 123 Business Centre, Min Rod, Big City A12 3AZ Address: h DETAILS OF THE INSTALLATION - it vlid certificte. The instlltion : Address: review Business it Centre, Min Rod, vlid Big City certificte. A12 3AZ New -- Extent of the New Reception Sockets & New Reception Lighting Fixed Wiring Only. An instlltion ddition covered by th An ltertion -- certificte: DESIGN Delete s Detils of permitted exceptions ppended: Yes / Rk ssessment ppended: Yes / No. of pges 0 pproprite S7671 I/We, certificte. being the person(s) responsible for the design of the electricl instlltion (s indicted by - my/our it signture(s) below), prticulrs vlid of which re described bove, hving exerced resonble skill nd cre when crrying out the design, hereby CERTIFY tht the design work for which I/we hve been responsible, to the best of my/our knowledge nd belief, in ccordnce with BS 7671, mended to (dte) except for the deprtures, if ny, detiled s follows: 17th Edition, Amendment 3:2015 h Detils of deprtures from BS 7671, s - mended it (Regultions 120.3, vlid 133.5): None certificte. The extent of libility of the signtory/signtories limited to the work described bove s the subject of th certificte. review For the DESIGN of - the it instlltion: vlid certificte. **(Where there divided responsibility for the design) Signture... Dte Nme Designer 1 Signture... Dte Nme 01/01/2016 ** A. Engineer Designer 2 CONSTRUCTION S7671 I, being certificte. the person responsible for the construction of the electricl instlltion (s indicted by my - signture it below), prticulrs of vlid which re described bove, hving exerced resonble skill nd cre when crrying out the construction, hereby CERTIFY tht the construction work for which I hve been responsible, to the best of my knowledge nd belief, in ccordnce with BS 7671, mended to (dte) except for the ertificte. - it 17th Edition, vlid Amendment 3:2015 deprtures, if ny, detiled s follows: certificte. Detils of deprtures from BS 7671, s mended (Regultions 120.3, 133.5): The extent of libility of the signtory limited to the work described bove s the subject of th certificte. review For the CONSTRUCTION - it of the instlltion: vlid Signture... Dte 01/01/2016 Nme A. Engineer Constructor INSPECTION AND TESTING ot vlid I, being the person responsible for certificte. the inspection nd testing of the electricl instlltion (s indicted by my signtures below), - it prticulrs of which re vlid described bove, hving exerced resonble skill nd cre when crrying out the inspection nd testing, hereby CERTIFY tht the work for which I hve been responsible to the best of my knowledge nd belief in ccordnce with BS 7671, mended to (dte) except for the S7671 deprtures, certificte. ny, detiled s follows: 17th - Edition, it Amendment 3:2015 vlid Detils of deprtures from BS 7671, s mended (Regultions 120.3, 133.5): None The extent of libility of the signtory/signtories limited to the work described bove s the subject of th certificte. For the INSPECTION AND TESTING of the instlltion: Reviewed by Signture... Dte 01/01/2016 Signture... Dte 01/01/2016 Nme Nme Qulified A. Engineer Inspector Qulified Supervor Supervor * box to be completed where the design, construction, DESIGN, CONSTRUCTION, INSPECTION AND TESTING * inspection nd testing hve been the responsibility of one person. ot vlid Detils of permitted exceptions ppended: certificte. Yes / Rk ssessment ppended: Yes / No. of pges - 0 Delete it s pproprite vlid I, being the person responsible for the design, construction, inspection nd testing of the electricl instlltion (s indicted by my signture below), prticulrs of which for re which described I hve bove, been hving responsible exerced to resonble the best of skill my knowledge nd cre when nd belief crrying in ccordnce out the design, with construction, BS 7671, mended inspection to nd testing, hereby CERTIFY tht the sid (dte) work except for the deprtures, if ny, detiled s follows: 17th Edition, Amendment 3:2015 Detils of deprtures from BS 7671, s mended (Regultions 120.3, 133.5): None h The extent of libility of the signtory limited to the work - it described bove s the subject of vlid th certificte. certificte. For the DESIGN, the CONSTRUCTION nd the INSPECTION AND TESTING of the instlltion. Reviewed by review Signture - it Dte vlid 01/01/2016 Signturecertificte. Dte 01/01/2016 Nme Nme Qulified nly - it A. Engineer vlid certificte. A. Engineer - it Supervor Where the inspection nd testing hve been crried out by n Approved Contrctor, the inspection nd testing results re to be reviewed by the regtered Qulified Supervor. Pge 1 of 6 ot Where vlid the design, the construction, nd the inspection certificte. nd testing hve been the responsibility of one person, the inspection nd testing results re to be - it vlid reviewed by the regtered Qulified Supervor. certificte bsed on the model forms shown in Appendix 6 of BS 7671 Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) Plese see the Notes for Recipients on the reverse of th pge. 1 Originl (To the person ordering the work) Check your certificte genuine, go to < nd put in the certificte number

2 NOTES FOR RECIPIENT THIS SAFETY CERTIFICATE IS AN IMPORTANT AND VALUABLE DOCUMENT nly - it vlid WHICH SHOULD BE RETAINED certificte. FOR FUTURE REFERENCE - it sfety certificte hs been sued to confirm tht the electricl instlltion work to which it reltes hs S7671 been certificte. designed, constructed, inspected, tested nd verified in ccordnce - with it the ntionl stndrd vlid for the sfety of electricl instlltions, Brith Stndrd 7671 (s mended) - Requirements for Electricl ertificte. Instlltions. - it vlid certificte. Where, s will often be the cse, the instlltion incorportes residul current device (RCD), there should h be ice t or ner the min - switchbord it or consumer vlid unit stting tht the device certificte. should be tested t qurterly intervls. For sfety resons, it importnt tht you crry out the test regulrly. Also for sfety resons, the complete electricl instlltion will need to be inspected nd tested t pproprite nly - it intervls by skilled vlid person or persons competent certificte. in such work. NICEIC* recommends tht you engge the - it services of n Approved Contrctor for th purpose. The mximum intervl recommended before the next ot vlid inspection stted on certificte. Pge 2 under Next Inspection. There should be ice t or - ner it the min vlid switchbord or consumer unit indicting when the inspection of the instlltion next due. Only n NICEIC Approved Contrctor or Conforming Body responsible for the construction of the electricl ertificte. instlltion uthored to sue th NICEIC Electricl Instlltion - it Certificte. vlid certificte. h The certificte consts of t lest - six it numbered pges. The vlid certificte invlid if ny of certificte. the six pges re msing. The certificte hs printed seven-digit seril number which trceble to the Approved Contrctor to which it review ws supplied - by NICEIC. it vlid certificte. For instlltions hving more thn one dtribution bord or more circuits thn cn be recorded on pges 5 nd 6, nly - it one or more dditionl vlid Schedules of Circuit Detils certificte. for the Instlltion, nd Schedules of Test Results for the - it Instlltion (pges 7 nd 8 onwrds) should form prt of the certificte. intended to be sued for new electricl instlltion or for new work ssocited with n S7671 ltertion certificte. or ddition to n exting instlltion. It should hve been sued - it for the inspection of vlid n exting electricl instlltion. An Electricl Instlltion Condition Report or, where pproprite, Domestic Electricl ertificte. Instlltion Condition Report should be sued for such - periodic it inspection. vlid certificte. h certificte should hve been - it sued for electricl vlid work in potentilly explosive certificte. tmosphere (hzrdous re) unless the Approved Contrctor holds n pproprite extension to NICEIC enrolment for such work. review You should hve - received it the certificte vlid mrked Originl nd the Approved certificte. Contrctor should hve retined the certificte mrked Duplicte. If you were the person ordering the work, but the user of the instlltion, you should pss th certificte, or ot vlid full copy of it including these certificte. es, the schedules nd dditionl pges (if ny), immeditely - to it the user. vlid The Originl should be retined in sfe plce nd shown to ny skilled person inspecting or undertking further work on the electricl instlltion in the future. If you lter vcte the property, th ertificte. certificte will demonstrte to the new user tht the electricl - it instlltion complied vlid with the requirements certificte. of the ntionl electricl sfety stndrd t the time the certificte ws sued. h Pge 1 of th certificte provides - detils it of the electricl vlid instlltion, together with the certificte. nme(s) nd signture(s) of the person(s) certifying the three elements of instlltion work: design, construction nd inspection nd testing. review Pge 2 identifies - it the orgntion(s) responsible vlid for the work certified certificte. by their representtive(s). nly - it Certifiction for inspection vlid nd testing provides certificte. n ssurnce tht the electricl instlltion work hs been fully - it inspected nd tested, nd tht the electricl work hs been crried out in ccordnce with the requirements of ot vlid BS 7671 (except for ny deprtures certificte. snctioned by the designer) nd recorded in the pproprite - it box(es) of the vlid certificte. h * NICEIC, operted by Certsure LLP, - prtnership it between the Electricl vlid Contrctors Assocition certificte. nd the chrity, Electricl Sfety First. NICEIC mintins nd publhes regters of electricl contrctors tht it hs ssessed ginst prticulr scheme review requirements (including - it the technicl stndrd vlid of electricl work). certificte. nly - it For further vlid informtion bout certificte. electricl sfety nd how NICEIC cn - it help you, vit continued on the reverse of pge 2 Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) ICN4C 1&2B

3 NOTES FOR RECIPIENT (continued from the reverse of pge 1) Where responsibility for the design, the construction nd the inspection nd testing of the electricl work divided between the Approved Contrctor nd one or more other bodies, the divion of responsibility should hve ertificte. been estblhed nd greed before commencement - of it the work. In such vlid cse, NICEIC considers tht certificte. the bsence of certifiction for the construction, or the inspection nd testing elements of the work would render the h certificte invlid. If the design- section it of the certificte vlid hs been completed, NICEIC certificte. recommends tht you question why those responsible for the design hve certified tht th importnt element of the work in review ccordnce with - it the ntionl electricl vlid sfety stndrd. certificte. Where the electricl work to which th certificte reltes includes the instlltion of fire lrm system nd/or nly - it vlid certificte. - it n emergency lighting system (or prt of such systems) in ccordnce with Brith Stndrds BS 5839 nd ot vlid BS 5266 respectively, th certificte. electricl sfety certificte should be ccompnied by seprte - it certificte or vlid certifictes s prescribed by those stndrds. S7671 Where certificte. the instlltion cn be supplied by more thn one source, such - s it the public supply nd vlid stndby genertor, the number of sources should hve been recorded in the box entitled Number of Sources, under the generl heding Supply Chrctertics nd Erthing Arrngements on pge 2 of the certificte, nd the Schedule h of Test Results compiled ccordingly. - it Where number vlid of sources re vilble to certificte. supply the instlltion, nd where the dt given for the primry source my differ from other sources, n dditionl pge should hve been review provided which - gives it the relevnt informtion vlid relting to ech dditionl certificte. source, nd to the ssocited erthing rrngements nd min switchger. nly - it Should the person vlid ordering the work (e.g. the client, certificte. s identified on Pge 1 of th certificte), hve reson to - it believe tht ny element of the work for which the Approved Contrctor hs ccepted responsibility (s indicted by the signtures on th certificte) does comply with the requirements of the ntionl electricl sfety S7671 stndrd certificte. (BS 7671), the client should in the first instnce re the specific concerns - it in writing with the vlid Approved Contrctor. If the concerns remin unresolved, the client my mke forml complint to NICEIC, for which ertificte. purpose stndrd complint form vilble request. - it vlid certificte. The complints procedure offered by NICEIC subject to certin terms nd conditions, full detils of which re h vilble upon ppliction. NICEIC - it does investigte vlid complints relting to the certificte. opertionl performnce of electricl instlltions (such s lighting levels), or to contrctul or commercil sues (such s time or cost). Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) ICN4C 3&4B

4 certificte vlid the seril review - it vlid number hs been defced certificte. or ltered PARTICULARS OF THE ORGANISATION(S) RESPONSIBLE FOR THE ELECTRICAL INSTALLATION ot vlid Orgntion certificte. - it vlid DESIGN (1) Technerve Ltd S7671 Address: certificte. NICEIC - Enrolment it No vlid New Mesters Business Prk (where pproprite) ertificte. - it Brnch vlid number: certificte. Postcode S3 8EN (if pplicble) DESIGN (2) Orgntion review Address: - it vlid certificte. NICEIC Enrolment No (where pproprite) nly - it vlid certificte. Brnch number: - it Postcode (if pplicble) ot vlid certificte. - it vlid CONSTRUCTION Orgntion Technerve Ltd S7671 Address: certificte. NICEIC - Enrolment it No vlid (Essentil informtion) ertificte. New Mesters Business Prk - it Brnch vlid number: certificte. Postcode S3 8EN (if pplicble) h INSPECTION - it vlid certificte. Orgntion AND TESTING Technerve Ltd review Address: - it vlid certificte. NICEIC Enrolment No (where pproprite) nly - it New Mesters Business vlid Prk certificte. - it Brnch number: Postcode S3 8EN (if pplicble) Tick boxes nd enter SUPPLY CHARACTERISTICS AND EARTHING ARRANGEMENTS Chrctertics of Primry Supply detils, s pproprite Overcurrent Protective Device(s) S7671 System certificte. Type(s) Number nd Type of Live Conductors Nture of Supply Prmeters - it vlid TN-S.c. d.c. Nominl V V BS(EN) voltge(s): ertificte. - it U (1) (1) 400 U o vlid certificte. TN-C-S 1-phse 1-phse 2-pole Nominl Notes: (2-wire) Hz Type (3-wire) frequency, f h - it vlid (1) 50 gg (1) by enquiry certificte. TN-C 2-phse Prospective fult (2) by enquiry or by 3-pole ka A (2)(3) mesurement Rted current (3-wire) current, I pf (3) where more thn review TT 3-phse - it 3-phse vlid Externl erth fult other certificte. (3-wire) one supply, record Short-circuit (2)(3) W ka (4-wire) loop impednce, Z 0.35 the higher or highest cpcity 33 e vlues Plese stte nly - ITit Other vlid certificte. Number of Confirmtion of sources 1 - it supply polrity ( ) ot vlid PARTICULARS OF INSTALLATION certificte. AT THE ORIGIN Tick boxes nd enter detils, s pproprite - it vlid Mens of Erthing Detils of Instlltion Erth Electrode (where pplicble) S7671 Dtributor s certificte. Type: - it vlid fcility: (eg rod(s), tpe etc) Loction: ertificte. Instlltion Electrode Method of- it vlid certificte. erth electrode: restnce, R A : (W) mesurement: h Min Switch/Switch-Fuse/ Circuit-Breker/RCD - it Mximum vlid kva / Amps Protective certificte. mesures Type Voltge Demnd (Lod): *Delete s pproprite ginst electric shock: BS(EN) rting 400 V Erthing nd Protective Bonding Conductors No of Erthing conductor Min protective bonding conductors 4 Rted Bonding of extrneous-conductive-prts ( ) poles current, I 200 A nly - it vlid n Conductor Conductor Wter certificte. Lightning Supply mteril copper - it RCD operting mteril copper instlltion pipes protection conductors copper ma mteril current, I n * Conductor cs mm Conductor 2 Oil Structurl Supply RCD operting 70 conductors mm ms cs 50 mm2 instlltion pipes steel time (t I n ) * cs Continuity/ Continuity/ Gs Other connection Rted time ( ) connection ( ) S7671 certificte. ms verified verified - it vlid instlltion dely* pipes * (pplicble where n RCD suitble nd used s min circuit-breker) ertificte. - it vlid certificte. COMMENTS ON EXISTING INSTALLATION Note: Enter NONE or, where pproprite, the pge number(s) None In the cse of n ltertion or dditions see Section 633 of dditionl pge(s) of comments on the exting instlltion. NEXT INSPECTION** Enter intervl in terms of yers, months or weeks, s pproprite review - it vlid certificte. 3 yers I/We, the designer(s), RECOMMEND tht th instlltion further inspected nd tested fter n intervl of more thn ** The proposed dte for the next inspection should tke into considertion the frequency nd qulity of mintennce tht the instlltion cn resonbly be expected to receive during its intended life, nd the period should be greed between the designer, instller nd other relevnt prties. Where the Approved Contrctor responsible for the construction of the electricl instlltion hs lso been responsible for the design ot vlid nd the inspection nd testing of tht instlltion, certificte. the Prticulrs of the Orgntion(s) responsible for the Electricl Instlltion my be - it Pge 2 of recorded in the section entitled CONSTRUCTION. 6vlid Where number of sources re vilble to supply the instlltion, nd where the dt given for the primry source my differ from other sources, seprte sheet must be provided which identifies the relevnt informtion relting to ech dditionl source. certificte bsed on the model forms shown in Appendix 6 of BS 7671 Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) Plese see the Notes for Recipients on the reverse of th pge. 3 Originl (To the person ordering the work)

5 certificte vlid the seril review - it vlid number hs been defced certificte. or ltered SCHEDULE OF ITEMS INSPECTED See e below ot vlid 1.0 CONDITION OF ELECTRICAL certificte. INTAKE EQUIPMENT 6.0 OTHER METHODS OF PROTECTION - it vlid (the Dtributor should be ified of ny (insert loction in box provided) unstfctory equipment) S7671 certificte. The presence nd - effectiveness it of other methods of vlid protection 1.1 Service cble ginst electric shock where used, s follows: 1.2 Service hed ertificte. - it vlid LOCATION certificte. 1.3 Dtributor s erthing rrngement 6.1 Bsic nd fult protection h 1.4 Meter tils - Dtributor/Consumer - it vlid ) SELV certificte. 1.5 Metering equipment b) PELV review 1.6 Isoltor - it vlid c) Double certificte. insultion/ Reinforced insultion nly - it 2.0 PARALLEL OR SWITCHED vlid ALTERNATIVE SOURCES d) Electricl seprtion for one item certificte. - it OF SUPPLY of equipment 2.1 Presence of dequte rrngements where genertor to 6.2 Fult protection ot vlid operte s switched lterntive certificte. ) Non-conducting loction/erth-free - it vlid ) Dedicted erthing rrngement independent of tht of the locl equipotentil bonding** S7671 certificte. public supply b) Electricl seprtion - it for more vlid 2.2 Presence of dequte rrngements where genertor to thn one item of equipment** operte in prllel with public supply system ) Correct connection of genertor in prllel 7.0 DISTRIBUTION EQUIPMENT h b) Comptibility of chrctertics of mens - it of genertion vlid certificte. 7.1 Adequcy of working spce/ccessibility c) Mens to provide utomtic dconnection of genertor in 7.2 Security of fixing the event of loss of public supply system or voltge or 7.3 Insultion of live prts dmged during erection frequency devition beyond declred vlues 7.4 Adequcy / security of brriers d) Mens to prevent connection of genertor in the event of nly - it loss of public supply vlid system or voltge or frequency certificte. 7.5 Suitbility of enclosures for IP nd fire rtings - it devition beyond declred vlues 7.6 Enclosures dmged during instlltion ot vlid e) Mens to olte genertor certificte. from the public supply system 7.7 Presence nd effectiveness of obstcles - it vlid 2.3 Presence of lterntive/dditionl supply wrning ices t: 7.8 Presence of min switch(es), linked where required S7671 certificte. ) The origin 7.9 Opertion of min - switch(es) it (functionl check) vlid b) The meter position, if remote from origin 7.10 Opertion of circuit-brekers nd RCDs to prove functionlity ertificte. c) The consumer unit/dtribution bord to which the - it 7.11 RCD(s) provided for fult vlid protection, where specified certificte. lterntive/dditionl sources re connected 7.12 RCD(s) provided for protection ginst fire h d) All points of oltion of ALL sources - of supply it vlid 7.13 RCD(s) provided for dditionl certificte. protection, where specified 7.14 Confirmtion overvoltge protection (SPDs) provided where review 3.0 AUTOMATIC - DISCONNECTION it OF SUPPLY vlid certificte. specified 3.1 Presence nd dequcy of protective erthing/ bonding 7.15 Confirmtion of indiction tht SPD functionl rrngements s follows: 7.16 Presence of RCD qurterly test ice t or ner the origin ) Dtributor s erthing rrngement or instlltion erth 7.17 Presence of digrms, chrts or schedules t or ner ech electrode rrngement dtribution bord, where required b) Erthing conductor nd connections 7.18 Presence of non-stndrd (mixed) cble colour wrning ice S7671 certificte. c) Min protective bonding conductors nd connections t or ner the pproprite dtribution bord, where required - it vlid d) Erthing/bonding lbels t ll pproprite loctions 7.19 Presence of next inspection recommendtion lbel ertificte. 3.2 Accessibility of: - it 7.20 Presence of other required vlid lbelling certificte. ) Erthing conductor connections 7.21 Selection of protective device(s) nd bse(s); correct type nd h b) All protective bonding connections - it rting vlid certificte. 3.3 FELV requirements stfied 7.22 Single-pole protective devices in line conductor review 3.4 Reduced low - voltge it requirements stfied vlid 7.23 Protection ginst mechnicl dmge where cbles enter certificte. equipment 7.24 Protection ginst electromgnetic effects where cbles enter nly - it 4.0 BASIC PROTECTION vlid certificte. ferromgnetic enclosures - it 4.1 Presence nd dequcy of protective mesures to provide 7.25 Confirmtion tht ALL conductor connections, including bsic protection connections to busbrs re correctly locted in terminls nd ) Insultion of live prts re tight nd secure S7671 certificte. b) Brriers or enclosures - it vlid c) Obstcles** 8.0 CIRCUITS ertificte. d) Plcing out of rech** - it 8.1 Identifiction of conductors vlid certificte. 8.2 Cbles correctly supported throughout their length h 5.0 ADDITIONAL PROTECTION - it vlid 8.3 Exmintion of cbles for signs certificte. of mechnicl dmge during 5.1 The presence nd effectiveness of dditionl protection instlltion methods used, s follows: 8.4 Exmintion of insultion of live prts, dmged during ) RCDs exceeding 30 ma operting current erection b) Supplementry bonding nly - it vlid certificte. ** For use in controlled superved/conditions - it All boxes must be completed. indictes tht n inspection ws crried out nd tht the result ws stfctory. indictes tht n inspection ws pplicble to the prticulr instlltion. * Where the electricl work to which th certificte reltes includes the instlltion of fire lrm system nd/or n emergency lighting system (or prt of such systems), th electricl sfety certificte should be ccompnied by the prticulr certificte(s) for the system(s). certificte bsed on the model forms shown in Appendix 6 of BS 7671 Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) Pge 3 of 6 5 Originl (To the person ordering the work)

6 certificte vlid the seril review - it vlid number hs been defced certificte. or ltered SCHEDULE OF ITEMS INSPECTED See e below ot vlid 8.5 Non-shethed cbles protected certificte. by enclosure in conduit, 9.2 Switching off for mechnicl mintennce - it vlid ducting or trunking ) Presence of pproprite devices S certificte. Suitbility of continment systems (including flexible conduit) b) Acceptble loction - it (stte if locl or remote) vlid 8.7 Correct temperture rting of cble insultion c) Cpble of being secured in the OFF position ertificte. 8.8 Adequcy of cbles for current-crrying cpcity with regrd - it d) Correct opertion vlid verified (functionl check) certificte. to the type nd nture of instlltion e) The circuit or prt thereof to be dconnected clerly h 8.9 Adequcy of protective devices: type nd - rted it current for vlid identified by loction nd/or certificte. durble mrking fult protection 8.10 Presence nd dequcy of circuit protective conductors 9.3 Emergency switching/stopping review - it vlid ) Presence certificte. of pproprite devices 8.11 Coordintion between conductors nd overlod protective devices b) Redily ccessible for opertion where dnger might occur 8.12 Wiring systems nd cble instlltion methods / prctices c) Correct opertion verified (functionl check) pproprite to the type nd nture of instlltion nd externl d) The instlltion, circuit or prt thereof to be dconnected, ot vlid certificte. - it influences vlid clerly identified by loction nd/or durble mrking 8.13 Cbles instlled under floors, bove ceilings, in wlls / 9.4 Functionl switching S7671 certificte. prtitions, dequtely protected ginst dmge - it vlid ) Presence of pproprite devices instlled in prescribed zones b) Correct opertion verified (functionl check) ertificte. incorporting erthed rmour or sheth, - it vlid certificte. or instlled within erthed wiring system, or otherwe protected ginst mechnicl 10.0 CURRENT-USING EQUIPMENT (PERMANENTLY dmge by nils, screws nd the like CONNECTED) review 8.14 Provion of dditionl - it protection by RCDs hving vlid rted 10.1 Suitbility certificte. of equipment in terms of IP nd fire rtings residul operting current (I n ) exceeding 30 ma 10.2 Enclosure dmged/deteriorted during instlltion so s nly - it ) for mobile equipment vlid with current rting exceeding to impir sfety certificte. - it 32 A for use outdoors 10.3 Suitbility for the environment nd externl influences b) For ll socket-outlets of rting 20 A or less, unless exempt ot vlid certificte Security of fixing - it vlid c) For cbles instlled in wlls/prtitions t depth of 10.5 Cble entry holes in ceilings bove luminires, sized or seled less thn 50 mm S7671 certificte. so s to restrict the - spred it of fire vlid d) For cbles instlled in wlls/prtitions contining metl 10.6 Recessed luminires (downlighters) prts regrdless of depth ertificte. - it ) Correct type of lmps vlid fitted certificte Provion of fire brriers, seling rrngements so s to b) Instlled to minime build-up of het minimize the spred of fire h - it vlid 10.7 Provion of undervoltge protection, certificte. where specified 8.16 Bnd II cbles segregted/seprted from Bnd I cbles 10.8 Provion of overlod protection, where specified 8.17 Cbles segregted/seprted from non-electricl services review - it vlid 10.9 Adequcy certificte. of working spce/ccessibility to equipment 8.18 Termintion of cbles t enclosures nly - it ) Connections under vlid no undue strin certificte SPECIAL INSTALLATIONS OR LOCATIONS - it b) No bsic insultion of conductor vible outside enclosure Lt below ny Specil Instlltions or Loctions which re prt of the ot vlid certificte. instlltion to be verified, nd confirm tht the - dditionl it requirements vlid c) Connections of live conductors dequtely enclosed given in the respective section of Prt 7 re fulfilled. S7671 certificte. d) Adequtely connected t point of entry to enclosure - it vlid (glnds, bushes etc.) ertificte Suitbility of circuit ccessories for externl influences - it vlid certificte Circuit ccessories dmged during erection h 8.21 Single-pole devices for switching in line - conductor it vlid certificte Adequcy of connections, including cpcs, within ccessories nd t fixed nd sttionry equipment 9.0 ISOLATION AND SWITCHING 9.1 Isoltors 12.0 OTHER ot vlid ) Presence nd loction of pproprite certificte. devices - it vlid b) Cpble of being secured in the OFF position S7671 certificte. c) Correct opertion verified (functionl check) - it vlid d) The instlltion, circuit or prt thereof tht will be olted clerly identified by loction nd/or durble mrking e) Wrning lbel posted in situtions where live prts cn be olted by the opertion of single device SCHEDULE OF ADDITIONAL RECORDS* (See ttched schedule) Pge No(s) nly - it Note: Additionl pge(s) must be vlid identified by the Electricl Instlltion Certificte certificte. seril number nd pge number(s). - it All boxes must be completed. indictes tht n inspection ws crried out nd tht the result ws stfctory. indictes tht n inspection ws pplicble to the prticulr instlltion. * Where the electricl work to which th certificte reltes includes the instlltion of fire lrm system nd/or n emergency lighting system (or prt of such systems), th electricl sfety certificte should be ccompnied by the prticulr certificte(s) for the system(s). certificte bsed on the model forms shown in Appendix 6 of BS 7671 Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) Pge 4 of 6 7 Originl (To the person ordering the work)

7 certificte vlid the seril review - it vlid number hs been defced certificte. or ltered nly - it vlid SCHEDULE certificte. OF CIRCUIT DETAILS - it ot vlid certificte. FOR THE INSTALLATION - it vlid TO BE COMPLETED IN EVERY CASE TO BE COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED DIRECTLY TO THE ORIGIN OF THE INSTALLATION* Loction of Supply to dtribution Noof Nominl dtribution bord: bord from: Origin of Supply [ ] phses: 3 voltge: 400 V h Fctory - it vlid certificte. Associted Overcurrent protective device for the dtribution circuit: RCD (if ny): BS(EN) Dtribution review - it Type: vlid certificte. Rting: A bord designtion: 3-phse Bord RCD No BS(EN) of poles: I n ma CIRCUIT DETAILS Circuit designtion Circuit Overcurrent protective devices RCD conductors: cs S7671 certificte. Live cpc - it BS (EN) vlid (mm 2 ) (mm 2 ) (s) (A) (ka) (ma) (W) h 1L1 Sockets Reception Desk - it A B 10 vlid certificte. C L2 Lighting Office A C C L3 SPARE Circuit number nd line See Tble 4A2 of Appendix 4 of BS 7671 Type of wiring (see code below) CODES FOR TYPE OF WIRING review A B- it C D vlid E F G certificte. H O (Other - plese stte) Thermoplstic Thermoplstic nly - it insulted/ cbles Thermoplstic shethed in metllic vlid certificte. Pge 5 of - it cbles Thermoplstic Thermoplstic in non-metllic cbles cbles Thermoplstic Thermosetting/ /SWA in metllic in non-metllic cbles cbles SWA insulted Minerl- cbles 6 cbles conduit conduit trunking trunking ot * vlid In such cses, detils of the dtribution certificte. (sub-min) circuit(s), together with the test results for the circuit(s), must lso be provided - it on continution schedules. vlid certificte bsed on the model forms shown in Appendix 6 of BS 7671 Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) Reference method Number of points served Mx. dconnection time permitted by BS 7671 Type Rting Short-circuit cpcity Operting current, I n Mximum Z s permitted by BS 7671 See next pge for Schedule of Test Results 9 Originl (To the person ordering the work)

8 certificte vlid the seril review - it vlid number hs been defced certificte. or ltered SCHEDULE OF TEST RESULTS ot vlid certificte. FOR THE INSTALLATION - it vlid S7671 TO BE certificte. COMPLETED ONLY IF THE DISTRIBUTION BOARD IS NOT CONNECTED - it vlid DIRECTLY TO THE ORIGIN OF THE INSTALLATION Test instruments (seril numbers) used: ertificte. - it vlid certificte. Chrctertics t th dtribution bord Confirmtion of supply polrity Erth h - it impednce fult loop RCD See e below vlid certificte. Z Insultion Multifunction s 0.35 W Operting times At I n ms restnce review - it vlid certificte. of ssocited I pf ka RCD (if ny) At 5I 16 n Continuity Other (if pplicble) ms Phse sequence confirmed (where pproprite) ( ) TEST RESULTS S7671 certificte. Circuit impednces Insultion restnce - it Polrity Mximum vlid RCD (W) Record lower or lowest vlue mesured operting erth Ring finl circuits All circuits Line/Line Line/Neutrl Line/Erth Neutrl/Erth ertificte. (mesured end to end) - it vlid certificte. loop fult times Test (At lest one column impednce, t I n t 5I n to be completed) Z button r h 1 r n r 2 s (if pplicble) opertion (Line) (Neutrl) (cpc) (R Rit 2 ) R 2 (MW) vlid (MW) (MW) (MW) ( ) certificte. (W) (ms) (ms) ( ) 1L L nly - it 1L3 vlid certificte. - it Note: Where the instlltion cn be supplied by more thn one source, such s primry source (e.g. public supply) nd secondry source (e.g. stndby genertor), the higher or highest Circuit number nd line vlues must be recorded. TESTED BY Signture: Position: Engineer Pge 6 of 6 Nme: A. Engineer Dte of testing: 01/01/2016 certificte bsed on the model forms shown in Appendix 6 of BS 7671 Publhed by Certsure LLP. Certsure LLP opertes the ELECSA & NICEIC brnds. Copyright Certsure LLP (Jnury 2015) See previous pge for Circuit Detils 11 Originl (To the person ordering the work)