EIC — Royal Docks Electrical

DETAILS OF THE CLIENT & INSTALLATION

Client name

Client address

Email

Phone

Installation address (if different)

Description & extent of the installation

Extent / type of work

New

Addition

Alteration

Risk assessment attached

SUPPLY CHARACTERISTICS & EARTHING

Earthing arrangement Means of earthing

Distributor

Earth electrode

Number & type of live conductors

Nominal voltage U (line)

V

Nominal voltage U0 (to earth)

V

Frequency

Hz

Prospective fault current Ipf

kA

External loop impedance Ze

Ω

Confirmation of supply polarity

SUPPLY PROTECTIVE DEVICE

BS (EN)

Type

Rated current

A

Maximum demand

A

PARTICULARS OF THE INSTALLATION

EARTH ELECTRODE (where applicable)

Type (rod/tape etc)

Location

Electrode resistance

Ω

MAIN PROTECTIVE CONDUCTORS

Earthing conductor material

Earthing conductor csa

mm²

Main bonding material

Main bonding csa

mm²

Main bonding to

MAIN SWITCH / RCD

Location

BS (EN)

No. of poles

Current rating

A

Voltage rating

V

RCD IΔn (if main switch)

mA

Comments on existing installation (additions/alterations — Reg 644.1.2)

SCHEDULE OF INSPECTIONS

SCHEDULE OF CIRCUITS & TEST RESULTS

DB reference

DB location

Supplied from

How many circuits?

DECLARATIONS & SIGN-OFF

I/We certify that the design, construction, and inspection & testing of the installation described above is, to the best of my/our knowledge and belief, in accordance with BS 7671:2018+A4:2026, except for any departures noted.

Departures from BS 7671 (if any)

Recommended next inspection

Date

Test instruments used (make / serial no.)

BS 7671 amendment this installation was designed / inspected to

A2:2022+A3:2024 is withdrawn on 15 Oct 2026 — after that, only A4:2026 may be declared.

FOR DESIGN

Designer name (CAPITALS)

Position

For / on behalf of

Signature

FOR DESIGN (where there is mutual responsibility for the design)

Only complete where a second designer shares responsibility for the design.

Designer name (CAPITALS)

Position

For / on behalf of

Signature

FOR CONSTRUCTION

Constructor name (CAPITALS)

Position

For / on behalf of

Signature

FOR INSPECTION & TESTING

Inspector name (CAPITALS)

Position

For / on behalf of

Signature

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