A
DETAILS OF THE CLIENT OR PERSON ORDERING THE WORK
B
REASON FOR PRODUCING THIS REPORT
C
DETAILS OF THE INSTALLATION
YEARS
YEARS
D
EXTENT AND LIMITATIONS OF INSPECTION AND TESTING
The inspection and testing detailed in this report have been carried out in accordance with BS 7671:2018 as amended to
A2:2022+A3:2024 is withdrawn on 15 Oct 2026 — after that, only A4:2026 may be declared.
E
SUMMARY OF THE CONDITION OF THE INSTALLATION
* An unsatisfactory assessment indicates that dangerous and/or potentially dangerous conditions have been identified.
F
RECOMMENDATIONS
Where the overall assessment of the suitability of the installation for continued use above is stated as UNSATISFACTORY, any observations classified as ‘Danger present’ (code C1) or ‘Potentially dangerous’ (code C2) should be acted on as a matter of urgency. Any observation classified as ‘Improvement recommended’ (code C3), or ‘Further investigation’ (code FI), is advisory and does not affect the overall assessment but should be given due consideration.
G
DECLARATION
I/We, being the person(s) responsible for the inspection and testing of the electrical installation (as indicated by my/our signatures below), having exercised reasonable skill and care when carrying out the inspection and testing, hereby declare that the information in this report, including the observations and the attached schedules, provides an accurate assessment of the condition of the electrical installation taking into account the stated extent and limitations.
INSPECTED AND TESTED BY
REPORT AUTHORISED FOR ISSUE BY
H
SCHEDULES
I
SUPPLY CHARACTERISTICS AND EARTHING ARRANGEMENTS
AC
DC
V
Hz
kA
Ω
A
J
PARTICULARS OF THE INSTALLATION REFERRED TO IN THIS REPORT
Ω
K
MAIN PROTECTIVE CONDUCTORS
mm²
mm²
L
MAIN SWITCH / SWITCH-FUSE / CIRCUIT BREAKER / RCD
V
mm²
M
OBSERVATIONS
FI — Further investigation is advised
C3 — Improvement recommended
C1 — Danger present. Risk of injury. Immediate remedial action is necessary
C2 — Potentially dangerous - urgent remedial action is necessary
M
INSPECTION SCHEDULE FOR A SINGLE DISTRIBUTION BOARD INSTALLATION
✓ Acceptable condition
C1 Unacceptable — Danger
C2 Unacceptable — Dangerous
C3 Improvement recommended
FI Further investigation
NV Not Verified
LIM Limitation
N/A Not Applicable
∞
SCHEDULE OF CIRCUIT DETAILS AND TEST RESULTS
DISTRIBUTION BOARD DETAILS
OVERCURRENT PROTECTIVE DEVICE FOR DISTRIBUTION CIRCUIT
RCD DETAILS
TEST INSTRUMENT DETAILS
How many circuits to record?
WIRING TYPE CODES:
A Thermoplastic insulated sheathed cables | B Thermoplastic cables in metallic conduit | C Thermoplastic cables in non-metallic conduit
D Thermoplastic cables in metallic trunking | E Thermoplastic cables in non-metallic trunking | F Thermoplastic SWA cables
G Thermosetting SWA cables | H Mineral insulated cables | I Other (please state)
A Thermoplastic insulated sheathed cables | B Thermoplastic cables in metallic conduit | C Thermoplastic cables in non-metallic conduit
D Thermoplastic cables in metallic trunking | E Thermoplastic cables in non-metallic trunking | F Thermoplastic SWA cables
G Thermosetting SWA cables | H Mineral insulated cables | I Other (please state)