GOIDELINES FOR PERIODIC IN SPECTION REPORT

SCOPE
The report is intended to identify the condition of the fixed electrical installation. Note that fixed appliances e.g. night storage heaters,
electric cookers are not part of the fixed installation. It is important that the person ordering the test is aware of this fact and the tester
should take reasonable steps to record that this particular information has been given to the person ordering the inspection. Cables concealed
within trunking and conduits within the fabric of the building or underground cannot in most circumstances be inspected. This fact is recorded
on the report. On page four observations and recommendations are made based on a combination of visual inspection and electrical
measurements (see part 6, National Rules for Electrical Installations, current edition).

PROCEDURE
All sections of the report must be completed. The layout of the form is intended to facilitate a. standard approach to inspection. Please note all
instructions carefully. On pages two and three any of the numbered questions answered "NO" must be referred to the comment section of the
report. It is permissible in larger installations to use sampling methods for inspecting switches, sockets, etc. It is important however to ensure that an
adequate ratio and sampling method is used in order th.at an accurate report may be written. The comment section should always state if this
system has been used and the ratio inspected.

Consideration should be given to using clear and unambiguous recommendation in the comment section of the report keeping in mind that in most
circumstances the section in question may be read by a non-technical person. Where additional comments need to be made please use
numbered continuation sheets.

RECOMMENDATIONS FOR REMEDIAL WORKS

Following the periodic inspection of the installation a schedule of defects, damage, deterioration and potentially dangerous non-compliances
shall be provided together with recommendations for remedial works. On page four of the report a numbering system is used to indicate to the
person(s) responsible for the installation the action recommended. The numbering system is as follows: (1) Requires urgent attention.
(2) Requires improvements, (3) Requires some attention, (4) Does not comply with current National Rules for Electrical installations. Note that
using (4) does not necessarily imply that the electrical installation inspected is unsafe. It is most important that this number system is used for all
reports. Where there are serious defects in the electrical installation consideration should be given to additional notification to the person
responsible for the installation using registered mail. The frequency of periodic inspection and testing shall be determined by the type of
installation, its use and operation, the frequency of maintenance and the external influences to which it is subjected.

DISTRIBUTION OF THE REPORTS

The origin .al report (white copy) is intended for the person ordering the inspection. The duplicate copy (yellow) should be retained by the
electrical contractor responsible for the report.

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Date ------- Periodic Inspection Report for a n Electrical Installation PR No:

REGJSTERED CONTRACTOR DETAILS :

INSTALLATION DETAILS:
Name _
Occupant Name/Trading as _
Address _ Address _

Reg No. _ lns ta.lla.tion Approx Age _ _ _ _ _ Occupant In Attendance ? Yes No

_

PLEASE CIRCLE ANSWERS OR TICK BOXES APPROPRJATE

AS
Installation Category? lndustria I D Other (specify) _
Domestic D
Reason for Inspection?
Insurance Inspection D If Other (specify) _

Extent of lnsta Ha tion cove red by this report? Entire lsn talla io n* D NO (see partia.l inspection details below)
" N.B. Cables conce ale d within trunking and co nduits wlthJn lli fa r1c th:e ulldh1g or underground have not been I nsp ected un less stated otherwise.

If partial inspection Spe.cify what part the report refe.ra to

□ □
lnstallationvoltageSinglePhaseOThree
TYPE OF SYSTEM EARTHING : TNCS, Phase □TT, L 1.TNS,
LJ ITL 2. L3. L 1-L2 D L2-13 D L 3 -L

D
Max prospective S/C current A Main Isolation** and overcurrent device type? NONE D SWITCH FUSED MCB D MCCB D

Nominal rating A ** If a main RCD is used as a main iso lating device the following details are required Rated current In A
I 93740 Pertodl out 1 14107;201e
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Tripping current
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Periodic Inspection Report for an Electrical Installation PR No:

N.B. Any Questions answered "no" must be referred to in the comment section of this report. ALL QUESTIONS MOST BE ANSWERED
PLEASE TICK BOX AS APPROPRJATE
1. Have all electrical outlets / accessories been inspected? Yes D No D DISTRIBUTION BOARD/S

2. Are all outlets / accessories undamaged? Yes D No D 15. Labelled correctly? Yes D No D
3. Are all live parts covered? Yes D No D 16. Located correctly? Yes D No D
EARTHING/BONDING DETAILS ub circuit isolation & overcurrent device type?
4. If TNCS is main protective conductor connected?
Fuse □ McbO
Yes □ No □ N/AO Are all devices correctly rated for S/C E,. 0/L?
5. If present isitthecorrectsize? Yes □ No □ N/AD Yes □ No □
6. Earth Electrode Inspection Chamber? Yes O No
19. Circuit sequence correct for P, N, +E? Yes D No D
7. If yes ... Is earth electrode visible? Yes D No D
20. RCD's
8. If yes ... Is protective tape used? Yes D No D
Circuit description Tripping current Longest tripping time
9. If visible is the earthing conductor the correct size? Yes O No O Sockets 30mA ms
Electric Shower 30mA ms
10. Is all main eguipotential bonding correct? Yes D No D N/A D
11. All supplementary bonding correct & connections verified?

Yes □ No □ N/AO

12. Protective Earthing sleeved where appropriate? Yes D No D N/A D

13. Polarity+earthing of all switches/outlets correct? Yes D No D

14. All metallic switches/ outlets earthed? Yes D No D PAGE2of0

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I 93740 Pertodl out 1 14107;201 e 5
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Periodic lnspection Report for an Electrical Installation PR No:

GENERAL
SUMMARY TEST DATA
21. Correct cable co lo urs used at the time of install.ation? Yes D No D Min Ins ula tion Resistance MO
22. Are cables in good condition? Yes D No D Max Resistance of protective conductor O
23. Ca bles correctly sele cted? Yes D No D Max fault loo p impedance Qandtype and

24. Correct routing of cables in attic area? Yes D No D N/AD size of

25. Ca bles correctly installed where visible? Yes D No D

26. All e xcess ive heating effects from luminaires avoided?

27. Correctly selected accessories & switches? Yes D No8

28. Are they in a good condition? Yes D No D Continuity Tester _

29. Are they correctly located? Yes D No D Insulation Resistance Tester _
30. Are they suit able for their environment? Yes D No D Loop Impedance Tester

RCD Tester _

DECLARATION
I/We the undersigned are respons ib le for the inspection and testing of
QUALITY OF WORKMANSHIP: the ele ct rical insta ll.a tion described on page 1. of this report.
I/We confirm to the best of my /our knowledge that tests and
Very Good 0 observations made on pages 1, 2, 3, 4, E, represent an
Satisfactory D accurate assessment within the limits specified, of the condition of
the electrical installation.
Poor □
Inspected and tested by (Sig ned},

(BLOCK CAPITALS > - -

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Periodic Inspect io n Re port fo r an Elect rica l Inst a lla tio n PR N o:

OBSERVATIONS AND RECOMM EN D ATIONS (tick boxes as appropriate)
(Note subject to the limitations specified on Page I of this report)

0 NO REMEDIAL WORK IS REQUIRED 0 THE FOLLOWING OBSERVATIONS ARE MADE

Recommendations
REF NO. COMMENTS (USE NUMBERED COHTINUATION SHEETS IF NECESSARY) As detailed belo w •

• One of the following numbers, as appropriate, is allocated to each of the observations made above to indicate to the person(s)
responsible for the installation the action recommended.
(1) REQUlRES URGENT ATTENTION (2) REQUIRES IMPROVEMENTS (3) REQUIRES SOME ATTENTION
(4) DOES NOT COMPLY WITH CURRENT NATIONAL RULES FOR ELECTRICAL INSTALLATIONS*
"THIS DOES NOT NECESSARILYIMP IY THATTHE. ELECTRICAL INSTALLATION INSPECTED IS UNS AFE

On the basis that aJI o bse rva t io ns requiring "urgent attention" have been completed without delay, I/We reco mm end th at this electrical insta llation is
furthe r ins pected a nd tes ted after an inte rva l of not more than ........... months/ years. (N.B. Flltu rn 11E1!10Ml req UJlrer11e111s may 1110cllfy th e spee d Uine In te rval 111
question)

Signed..................................................Certifier No. Date .

{BLOCK CAPITALS)
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