A
DETAILS OF THE CLIENT OR PERSON ORDERING THE WORK
B
REASON FOR PRODUCING THIS REPORT
C
DETAILS OF THE INSTALLATION
Description of premises
YEARS
Evidence of additions or alterations
Installation records available
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A2:2022+A3:2024 is withdrawn on 15 Oct 2026 — after that, only A4:2026 may be declared.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
Overall assessment
Alternative supply
F
RECOMMENDATIONS
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
Earthing arrangement
Live conductors - AC
Live conductors - DC
Nature of supply parameters
V
Hz
kA
Ω
Supply protective device
A
Supply polarity confirmed
J
PARTICULARS OF THE INSTALLATION REFERRED TO IN THIS REPORT
Means of earthing
Ω
K
MAIN PROTECTIVE CONDUCTORS
Earthing conductor
mm²
Main protective bonding
mm²
Bonding of extraneous conductive parts
L
MAIN SWITCH / SWITCH-FUSE / CIRCUIT BREAKER / RCD
V
mm²
M
OBSERVATIONS
C1 Danger present — immediate action · C2 Potentially dangerous — urgent action · C3 Improvement recommended · FI Further investigation advised
📷
SITE PHOTOS (OPTIONAL)
Distribution board and any defects supporting the observations above. Photos are added to the report as an evidence page.
M
INSPECTION SCHEDULE FOR A SINGLE DISTRIBUTION BOARD INSTALLATION
✓ Acceptable · C1 Danger present · C2 Potentially dangerous · C3 Improvement recommended · FI Further investigation · NV Not verified · LIM Limitation · N/A Not applicable
Every item starts as ✓ acceptable — change only the ones you observed.
∞
SCHEDULE OF CIRCUIT DETAILS AND TEST RESULTS
DISTRIBUTION BOARD / TEST DETAILS
SPD
Confirmed
Overcurrent device at origin
RCD at origin
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)