• APPROVED CONTRACTOR

-1--·-Contractor's Reference Number

DETAILSl._OFTHE CLIENT

Client

Address S M1i-v/~./-1A.t,,.tc:,..,

"' V (JI /~j Postcode: 5 d / J CJ'/ s

PURPOSE OFTHE REP.ORT.

Purpose forwh1ch this report is required

Date(sl on which mspect1on and testing were earned out:

Occupier

Address

Postcode:

Estimated age of the 'I L. years Evidence of alterallons IJI_ 1 .. If yes1 O oraddibons l"!JJI estimatao ,JO electncal mstallallon: J T

Date of previous 8ee1ncal lnstallatlon Certificate No or preVJous /ti / S age

inspection. 1-lS O l Penod1c lnspactiOn or Condition Report No rJ lv Records of installation NIJ Records held by available

Extent of the electrical installation covered byth1s report

Agreed limitations including the reasons, 1f any, on the mspect10n and testing ✓

)J~i.)-IC

Agreed with:

Operat1onel hmnatlons including the reasons (see page No

The 1nspec1JOn and testing have been earned out 1n accordance wrth BS 7671, es amended Cables concealed within trunking and conduits, or cables and conduits concealed under floors, in inaccessible roof spaces and generallywrttun the fabric of the building or underground, have not been visually inspected unless specrf1cally agreed between the client and inspector prior to the mspecbon

SUMMARY OFTHE CONDITION OF THE INSTALLATION General condition of tha installation (m terms of electrical safety)·

Summaiy of the condrtion of the mstallatlon continued on addltlonal pages? No ~ '- Specify page Nols) -Overall assessment I rlSFACTORV I tlN&liR6FMf9Alf' I • An 'Unsatidllctor( -..nt indicatas that dangerous of the installation: SI( ttNIMfltifll~lilff ICODE C1) 111.Var potentially dangerous (CODE C2) conditions

Dslste as appropriate hllv9 beto ideittifiud, orthllt Fulther tlMlllllgation without delay (RI ill niquiied

-a; C '6, ·c 0

This report should have been reviewed and confirmed by the registered Qualified Supervisor of the Approved Contractor responsible for issuing it. (See declaration on page 21

This report is based on the model fonns shown in Appendix 6 at BS 7671. Page1 of~ Published by Censure LLP. Censure LLP operates the ELECSA & NICEIC brands.© Copyright Certsure LLP (July 2015)

DPN7/1

• This report 1s not valid if the serial number has ~ DPN7 / Q 7 2 41 Q 1 been defaced or altered ii:

0 •IGl!!IG .. APPROVED ,s

C: CONTRACTOR ELECTRICAL INSTALLATION CONDITION REPORT FOR SMALL INSTALLATIONS NOT EXCEEDING 100 A "" C:

OBSERVATIONS AND RECOMMENDATIONS FOR ACTIONS TO BE TAKEN Referring to the attached schedules of inspection and test results, and subject ~o the limitations at page 1: There are no items adversely or The following observations and l ./ affecting electrical safety /\Ji,. recommendations for action are made ~

Item No Observation(s) include reference location as appropriate Codet

1

/

Additional pages? No /ves - Specify page No(s)· Immediate remedial action -- required for items: t One of the followmg codes, as appropnate, has been allocated to each of the

obseNations made above to indicate to the person{s) 1esponsib/e for the msta/latrcm Urgent remedial action the degree of urgency for remedial action required for items: ----Code C1 'Danger present'. Risk of mjury. Immediate remedial action required. Further investigation required

Coda C2 'Potentially dangerous: Urgent remediaf action required without delay 1or items: Coda C3 'lmpro1111m&nt recommended'.

Improvement Cade Fl 'Further investigation required without delay'. recommended for items: Please see the renrse of this page for guidance n,gerding the Clessification codes.

This report is based on the model fonns shown in Appendix 6 of BS 7671. Published by Certsure LLP. Certsure LLP operates the ELECSA & NICEIC brands. (!l) Copyright Certsure LLP [July 2015)

.. t! 0 DECLARATION

I/We, being the person(s) responsible for the mspectrnn and testing of the i ... electrical installation (as 1nd1cated by my/our signatures belowl, particulars of ., which are described on page 1, having exercised reasonable skill and care -s when canymg out the mspectmn and testmg, hereby declare that the ~ mformat1on m this report, mcludmg the observations and the attached schedules, provides an accurate assessment of the condition of the electrical "i mstallatrnn takmg mto account the stated extent of the mstallat1on and the .5

C, hm1tat1ons on the mspectlon and testing 'C I/We further declare that in my/our judgement. the overall 0

assessment of the installation in tenns of its suitability for continued use is I SATISFACTORY /.YNOliff&Fftefflf\V• I Delete es appropnate

at the time the inspection was carried out. and that it should be further inspected as recommended within the time interval given below. " An 'Unslllistactury' assessma111 indicates that dangerous (CODE C1) and/a,

potentially dangerous (CODE C2) conditions han been identified, or that Furthar investigation wi1hout delay (Al is required

INSPECTION, TESTING AND ASSESSMENT BY:

Signature g( CcoL-v Name O k (CAPITALS! 0 , ((Jo Position € 1~--,f rtc ,;_""' Date l tf 1,/z_p,f r------.... REPORT REVIEWED AND CONFIRMED

Signature

Name 2 9 NOV 2018 ICAPITALSI

(Registered Qua/med Supe r fo1 the App1oved Contrectorl

Date P. A Tarrant

NEXT INSPECTION I/We recommend thatthis installation 1s further inspected and tested after an interval of not more than

S' f,eo.JJ (Enter interval in IP-1111S ot )188~ or months, as apfJ(OpnsteJ

provided that any items which have been attributed a Classification code C1 (danger present) are remedied immediately and that any Items which have been attributed a code C2 (potentially dangerous) or FI (further investigation required without delay) are remedied or investigated respectively as a matter of urgency. Items which have been attribuled a Classification code C3 should be improved as soon as practicable.

Please see the 'Guidance for Rec1p1ents on the Class1f1ca11011 codes' on the reverse of tl11s pa9e Page 2 ofrn

DPN7/3

Model 'lype Touring Stanc Motorhome

fur direct cunnect1on " ConnectJon to a TN-C-S syistem requires

Tick boxes arrd en!llr details as appropriate VEfollCLE DETAILS Reg1stratJDn (motorhome) VIN

I I I I I I I I l I I I I I I I Earthing and protective bonding conductors Tic4 boxes and enrer dstarls as sppropnat,,

Earthing conductor /for sts&c Conductor Conductor Connect10nf ~ehrc(ssor material csa mm2 continuity □ verified transrrtable

Length CSd superv1s1on (see regulatJon 717 411 41 units Type (e g rod/s), m mm2 tape(s))

Conductor Conductor Connection/ I, n ElectJode n n Chas,s mm2 contmuity matenel CSi:I resistance, RA venlied

Conductor Conductor Connection/ Location mm2 continuity mate11al cse ve1ified

Connection/ Conductor Gas service mm2 continuity Supplr voltage(s) and maximum Nominal voltage(sl MeX1mum permmed csa u kVA/ verified load/demand u. load Amps

·,- TRA_NS~ORTABLE UNIT DETAILS Description

Model name and year

This report 1s not valrd ■ If the serial number has DPN7 /Q 7 2 41 Q 1 been defaced or altered •ln E■n

APPROVED CONTRACTOR ELECTRICAL INSTALLATION CONDITION REPORT FOR SMALL INSTALLATIONS NOT EXCEEDING 100 A

Tick boxes and entfJr details, Nature of supplr parameters NotJJs (1) by 8fl(IUIT'f (2) by enquiry or bi, fflflllsurement(3) rMlete moto then dS appropnate Characteristics of primarr supplr ona supply, f9Cord the hlqher or hll/hestva/ue~ (4/ by meaSIJl9ment um er and type of live conductors overcurre~t protective d11vice(s

Number of Nominal U/11 NominaJ H ~ I-phase i;ources voltage(s1 -.__ v frequency, ,r, $ V z BS(ENI Short-circuit

, (3-wire) --...._ 1,.00kA capacity External earth fault 3-phase ~ 3-phase . ./"" V 141 r-- n Confirmation TN-C-S (3-wirel (4-wire) V _ loop 1mpedance, z. r. Type /✓ of supply

Other Plmestate ---........ Single-phase Prospecllve fault ./"" kA 3-phase Prospective fault J.i ,.2T'} kA polarity TT current, 1/,.,~ / current, lp/ZJro ~ Ratad current A

Main Switch/Switch-Fuse/Circuit-Breaker/RCD Mi(jiiit:1;J!t;1 ;g-j•)ii~ti M• ti ,t,Jf t.ii nLi•J;j@i1 rick boxesand onterdeto,ls, as appropriate Measured z. O , \ \ n eans o eartlling . · 11ta1ls iii installation ea electrode (where applicable) Type Voltage f,IA

Distributor's / Type leq rod(sl, _ Location Maximum kVA/ BS(EN) 5 lf--11 ratmg ~l) V Protectwe measure(sl demand (Load) \ 0 ......,_

facility / t.ape etcl ~ for fault protection o,,,.,. as appropnar,, No of '1 Rated I 11v\ A Installation Electrode Method of ,, Number of poles J current, 1. \,YV

earth electrode --- resistance, RA - n measurement ~ "'\~_.S smoke alarms ---. Supply ...... ······----·······-·· .. ·····-·., .................... ,. ___ ..... -- ....... ···- ____ _,_ ·-----·· ··-···- ·-···- ··- - ··--···- ····-·· -······· ..... -··· . -··-····••··•··-··· •-·••· .. - ···-- --- --·-. --·-·· RCD operating A conductors r •~ / Ealthmg conductor Main protective bonding C<lnductors and bonding of extraneous-conductive-parts Water mstallaMn ,..__ Structural current, l~n' r--- m material 1.-c>, r v

Contmu1ty/ C d pipes , steel ....,___ Conductor .✓.:"~ /_ connection -..,,. ✓ on uctor ....-....... Conductor --....m , -, Supply /1.) RCD operating material ....,,.~ . venfted material cse m Oil installation r-.....,. Other conductors O mm2 time (at l,.

01 • ~ ms

csa Conductor Continuity/ / pipes / c mm2 connection ✓ ✓ Location Rated time csa I:);) ve11f1ed (where not obv1ousl Gas 1nstallanon delay• - ms pipes'-. • 11pplicable only wbeni 11n RCD is -411s II ffl/lln circuit-lne/«Jr

ca .5 C) ·c 0

t All bOXIIS must b11 completed. '✓ ·indicates that an inspection was carried out and that the result was s11timctDry. 'NIA' indicates that an inspsction was not 11pplic11ble to the particular installation. Page 3 of

This certificate is based on the model forms shown in Appendix 6 of BS 7671. Published by Certsure LLP. Certsure LLP operates the ELECSA & NICEIC brands.© Copyright Certsure LLP (July 20151 DPN7,'S

1-phase (Z-w1re) ~

TN-S

_

C

• This report is not valid DPN / if the serial number has 7

Q 7 2 41 Q 1 bean defaced or altered •IDl!!ID

APPROVED CONTRACTOR ELECTRICAL INSTALLATION CONDITION REPORTFOR SMALL INSTALLATIONS NOT EXCEEDING 100A

DETAILS OF NICEIC APPROVED CONTRACTOR ampton City Council

Housing Ope.rations 5 Mauretania Road Nursling Industrial Etstate Southampton SO16 0YS N/0 /!IC l\lo, 900075000 GH h.-. Nu,221i1:l

Enrolment number (Essential mfotmallDn) +---=-

Branch number (rf applicable)

Telephone number· Email address "ii Postcode: ·;,

·c

Trading title

Address

SCHEDULE OF INSPECTIONS Item Description Outc.oma* 1.0 Condition/adequacy of distributor's/supply

intake equipmentf ---~-11 Service cable ______________ -----·-________ ✓ 1_2_~erv1ce head ____________ ---------✓ 1 3 Dtstnbutor's earthmg arrangement t.,/' 14 · Metertarls-D1~1r1but01/Consumer _ ---? 1 5 Metermg equ1pm11nt V""

1_6 __ Means at main 1solatmn_(where present) __ -----------------=-_~ 2.0-- Presence of adeq~iiii arra;g~~entslor other sources

(m,crogeneratars etc) ___ 2 ,- Adequate arrangements where a generatmg set operates as a Ii

switched alternative to the_ public supply _ __ _ _____ _!'ot.___ t t

2 2 Ad equate arrangementsw h ere 8 genera t mg se opera es m .JJ.A parallel with the pub 1Ir- supp 1Y ____

2 ~~~s_:nc~f_a_!!!lr_!!~?~~a~dltlO_~~_!!~e_p_ly_warn~JL~_tl_~(s!__ --~ - ----·---:---·-·····- ;-·-· ___ ________________ ________

3.0 Earthmg and bondmg arrangements - --------- / 3_!._~~e~~-~!~~~~~~on of drstr~butor's _eart_hrng arr~ngement _ 3 2 _ Presenre and cond1tron of earth electrode connect10'! ____ __ 1"" 3 3 Confirmation of adequate earthrng conductor size V-3 4 Accessibility -;jnd conditmn of earthimi condu-ctm at Mam / ___ E~rthmg __ !e_rrnr!!_aJJ~~-- _____ ____ _________

3 5 Conf1rmat1on of adequate marn protective bonding conductor l. stzes _____ ---· ___ _______ -------·--···-·· __ _:Mil__

----- · · · · 3 6 Accessib1hty and condition of marn protective bondmg l ~

conductor connections ,~ ·-------~-------- ----··- - ------~----------- -- ------ -···

7 nd nd1 0th8 nd 3 ~;~=~~~~~ a co t1on of r protective l>o rng ~ 3 8-Proviiionof earth;ng and bonding labels at all approprrate I •-___ lo_c_atr~n_s___ ______ ____________ __________ JV"" .

0 i

Description Outcome* Contirmatron that ALL conductor connections, mclud1ng connections to busbars are correctly located rn termrnals and are tlg_ht and seGure _____________________ _

Distribution/final circuits ldentificat1on of conductors Cables correctly supported throughout their length -----;:::,;;-Condrtron of 11lsulat1on of lrve parts Non-sheathed cables protected by enclosure in conduit, _,/ ductrng or trunking (mcludmg conflrmaflon of the integrity of , conduit and trunking systemsl Adequacy of cables for current-carrying capacity with ____ _ regard to the type and nature of mstallatmn Adequacy of protective devices, type and rated current tor fault protection Presence and adequacy of c1rcu1t protectrve conductors

Co-ordmatton between conductors and overload protectrve devices __ _ :!rrr~~Yi~\~:(~n':f~~f :~!~~ii~~~~:pe and nature of

Item Description Outcome" 4.0 Consumer unit(s) 41 Adequacvlitworkmgspaceoraccess-to consumeru-;iit ___ y-42-Secunivottixing- -------------=z._ 43-Condrtion of enclosure(sf in terms of IPratmg-- ----~_L_ 4 4 Condition of enclosure(sl in terms offrre rating / 4.5 Enclosure not damaged/deteriorated so as to impair safety ___ - --,,,,,_,,,, 4 6 Presence'of lrnked marn switch / 4 7 Operation of mam switch (functional check) ../

~~- Marn ~(~~!!_1:_a_p!ble of bemg ~1:_c~ed ~n_!~e OFF posrtr~~---- ,_..,,,,-49 Operatmn of c1rcutt-breakers and RCDs to piove _ __ d1sconnect1on (functmnal checkl _ ----------------···--·-··--·~ 410 Correct 1dentrfication of circuits and protect1Ve devices ~ ----p---1 RCO 4 11 O - _ resence teSl notice at_ot near consumer unrt -----~-4.12 Presence of non-standard (mrxed) cable colour warnrng

notice at or near consumer umt J..,..,ci. 4'13 Presenceof alternative or add1t1onal supply warnmg notrce

Item 4.23

..

5.0 5.1 5 2 5.3 5 4

5.5

5 6

5.1 5 8

__ '-~ ~n-~r_ consumer unit _ __ ___ _________ ~ ./ 5 9 ~~-- Presence of n_~xt rnsp~~lon rec_ommendation label -~✓- 510 Cables "installed underlioors, abovec"iulrngs, rn wa-11s-,----4.15 Presence of other_required labellrng (please specify) -----~ 416 Examrnat1on of protective dev1cels) and base(s), correct type

and rating (no signs of unacceptable thermal damage, / _ ____ arc'!!!L~' overheat.mg) _____________ ~ __ ____ 4 17 ~~nngJ~::: :;~ching or protective devices rn the lme /

---------------------------------- 5 11 4.18 Protection against mechanical damage where cables enter /

consumer unrt ~--- -------.------ --- -~-4 19 Protection agamst electromagnetic effects where cables /

enter metallic consumei unit/enclosure -------~-

~--RCDs-provi1iedforfaultprotect1orl:.mciudes RCBO! ______ _ ~ _

4 21 RCDs provided fo_!:.!dd1!1~nal ~~~e_c~~n - ~~~~ude_s_!C!I_~ ___ ½_ ~2L Conf1rrna!'_o_'!._of rnd1~~~~~a!_~J_D3_!!!.~!~~! ______ __J.&_

t Where madequac,as ,n d1stnbu!Dr's equipment are encountered, ,t 1s recommended that the pemn ordenng l:he report mfrlrms thB appropnaf11 authority § Older mm/latrons desrgned pnor to 8S 7671 2008 m,ry not have been prowded with RCDs for adddlonal protectton

E_art1tions, adequately protected against damage • mstalled m prescribed zones Extent and hm~rta-t-,o-n_s_ • rncor poratrng earthed 81 mour 01 sheath, or installed

wrthrn earthed wmng system, or otherwise protected . is\a~n~!~c~idn\;~~:i:~~e by nails, screws and th~1ke ___ _

Provrsion of addmonal protection by RCD not exceedrn 30 mA - ------- _ g - -- --------------------------------···· _ • §for all socket-outlets of ratmg 20 A 01 less ~ --~--- ------- - d ~---· f 32A --- ·--• aror mobile equrpment not excee mg a rating o ~

-;-~~~ ~::1~~t~:~led m walls or partitions at a depth of ..

less than 5~_n:!.'!1 ____ -~ • §f~~ar~e!rd~:~l~/d: ~alls I part1t1ons conta1mng metal N\4 ___ E_ ~-------~----------- ----------- . --• §lighting of bus shelters, telephone kiosks, town plans ¼

and the hke

Outcome * All lloxes must be compfered. 'NIA' indicates Not applicable Ful1ber investigation required without delay state R Provide additional comment where appropriate an attached numbered sheets. Page4of[l] v · indicates Acceptable condition Unacceptable condition state C1 or C2 (to_ determine whether danger or potemial danger Cl, C2, C3 and Fl coded items to be recorded in Page 2 of the report 'LIM' indicates a Limitation Improvement recommended state C3 eX1stsl Certsure LLP operates the ELECSA & NICEIC brands.© Copyright Certsure LLP (July 2015) O'PN7n This report is based on the model forms shown in Appendix 6 of BS 7671. Published by Certsure LLP.

- --

• This report •• not valid if the serlal number has DPN7/ been defaced or altered •1111 -■111 0724101

APPROVED CONTRACTOR ELECTRICAL INSTALLATION CONDITION REPORT FOR SMALL INSTALLATIONS NOT EXCEEDING 100 A

SCHEDULE Of INSPECTIONS

Item Descnption Outcome* Item Description Outcome* Item Description Outcome• 512 Prov1s1on of fire barriers, sealing arrangements and / 7.0 Current-using equipment (Permanently connected) 9.0 Other special mstallations or locations - Part 7s

protectJDn agamstthermal effects ' . 71 Condrtioii.of equ1pmerii'm terms of IP rating L_ 9.1 List of all other special installations or locations, 1f any, 5 13 Band II cables segregated/separated from Band I cables 7 7.2 Equipment does not constJtute a fire hazard 7 present. (Record the results of any particular inspection ~Cables segregated/separated from commumcat1ons _/. 7 3 Enclosure not damaged/lletenorated so as to impair 7 . and append se?.arately) ·---~-

cabling ____________ ---·• safety ____________ --:----::---- .. ____/ -5 15 Cables seg1egated/separated from non-electrical /' 7 4 - Su1tab1hty for the environment and external influences -··_L___ // /

services ..7 SCHEDULE OF ITEMS INSPECTED PARTICULAR 7 5 516 Termmatmn of cables at enclosures (extent of sampling Security of fixmg TO A LEISURE ACCOMMODATION VEHICLE

!nd1_c!!_~ed on page 1 of the report) 7 6 Cable entry holes in ceihng above luminaires, sized or -----~ sealed so as to restrict the spread offire OR A TRANSPORTABLE UNJT

• Connections soundly made and under no undue strain ~ List number and location of /ummaires mspected • No basic rnsulat1on of a conductor v1s1ble outside / (Separate page) _

hem Description Outcome" enclosures 7 7 ~ecess~~--(~_mma1res (downl1ghters) 7 10.0 Means of connection ~Cormact1ons of live conducto1s adequateiveni:iosed___ • correct type of lamps fitted f',fi.,,. Ad 1 d f - I / ·:-,----,------- ·10 1 'Hook-up' connection arrangement (inlet plug and • equate y connecte at point o entry to enc osuI e ../ • installed to minimise build-up of heat by use of 'fire ) ( qlands, bushes etc ) d' f· I, connector

5 17 Cond~on of accessories mcludmg socket-outlets, / r~!:1at1::n~:placement box or similar _____ •~ •-e-q-u1-pm-en_t_c_o_m-pl-1a_s_w-1t-~ ·ss EN 60309-2 M:A switches and J □mt boxes -/ • no signs of overheating to surrounding build mg fabric ~. __ •_acceptable condition ----·-----__,,.!&~

518 Suitab1hty of accessories for external influences no signs of overheating to conductors/terminations _ ~ 10.2 _Fl_e_x1_b_le_'h_o:--o_k·_u-,:-p_' c_ab_le_;---:----------1/ -· . 7 519 Adequacy of working !Pace/ access1~ity to e_,__ ___ ---=._ • correct length and size [csa) =m= quI,__pm_e_nt

5 20 Smg~e-pole derces fo1 sw1tchmg or protection in line / 8.0 Lacationls) containing a beth or shower -------·- __ •_ acceptable.type (to BS 7919) and.condmo_n ____ ----l.P\-___ con uctors on y ·----- ------------ 8.1 Additional protection by RCD notexcee_d_m_g_3_0_m_A ·------- 10.3 Direct connect10n (to static veh1clesl

--·-------- • forlow voltage circuits serving the location Ii,; ~ acceptable type of wiring sy_st_e_m_a_n_d_c_o-nd_itl_o_n ___ ......,JJ5. __ 6.0 Isolation and switching hsolatlon, switching off for • for low voltage cucuits passing thiough Zone 1 and Zone 2 • correct sIze lcsa) -~ __ _!!le~~amcal maintenance and functio~~~ swrtc~!!:~L___ _______ not servmg the locatJon (\"4 104 Presence of requued 1dent1f1cat1on/labellmg

1 6 1 !~~~~---------- 8 2 - Where used as a protective measure, requirements for • mstructmns for the safe use of the

~ - ~re~nce an~ cond1t1on of appropriate device~---- ~/ · SELV or Pav are met ~ cwavan/transportable umt mstallatlon/supply • correct operation verified ~~- / 8.3 Shaver sockets comply wrth BS EN 61558-2-5 formerly 1,.. • md1cat1on of voltage !stated on or ad1acentl to all A ,

6 2 For 1solat1on and swrtchmg for mechanical maintenance BS 3535 lll"'l 1 . __ e_xtr_a-low voltage (ELV) socket-outlets ----J.W only ___ ____ ____ ,.a 4 Presence of supplemeiitary-imndmg-conductors unless 10.5 Plugs and socket-outlets non-interchangeable with those 1, • ~-capable of berng secured in the OFF pos1t1on where / ______ not reguned by BS 7671 _2008 --- ·---- of LV installation JIJC",,

appropriate ·~--~- -- _ / 8.5 Low voltage [e g 230 volts! socket-outlets sited 10 6 All conductors ad·-e-qu-a-te-ly-protected against mechanical ~ L • acceptable location - state 1f local or remote from __,,, at least 3 m from zone 1 damage IV\/\

equipment being controlled where appropriate _/ 86S~1i:ability 0Tequ1pm-ent forexternal influences for . 10.7 All conductcrrsadequa-te-ly- pr-o-te-c-te_d_a_g_at_n_s_t_m_e_c_h_an-1-ca_l_~ ~clearly 1dent1f1ed by position and/or durable markmg(s) / · installed location m terms of IP ratmg --··-stresses (e.g vibration from vehicular motion)

63For 1solat1on only ·-------- BJ ·-suitability of eqmpme~~r installation in a parttcular zone ~ ~- warmngiabel(s) posted m situations where live parts "°7

cannot be isolated by the operation of a single device § Note Older ,nsts/latlons designed prior to BS 7671 2008 may not have been provided with RCOs for add1t1onat protection

SCHEDULES AND ADDITIONAL PAGES Additional pages, including data sheets for Page Nolsl Schedule of C1rcurt Details for the Installation Page No(s) 6 additional sourcels)

Schedule of Test Results for the Installation Page No(s) Schedule of Inspections Page(sl No 4, 5 Special installattons or locations Page No(s) 6 --..... The pages idenbhed are an essenllal part of 1111s report The report IS vahd only~ accompanied by all 1he schedules and addrtlonal pages 1dentlfiad above

* Alf boxes /Ill/St be CDlllfJ/lllrld. 'NIA' indicates Not applicable Further investigation required without delay state Fl Outcome · d. A bl d·1· Unacceptable condition state Cl or cz (to determine whether danger or potential danger Provide additional comm.ant where appropriat~ on attached numbered sheets.

'ii' in 1cates ccepta 8 con I ion dad le C3 ·sis) Cl, C2, CJ and Fl coded items to be recorded in Page 2 of the report Page5ofct:J 'UM' indicates a Limitation Improvement recommen sta eXJ

This report is based on the model forms shown in Appendix 6 of BS 7671. Published by Certsure LLP. Certsure LLP operates the ELECSA & NICEIC brands.© Copyright Certsure LLP {July 2015) DPN719

• This report is not valid if the senal number has DPN7 / been defaced or altered ·l• E■I: 0724101

APPROVED CONTRACTOR SCHEDULES

131 iG1hl•t-iMlf 1 ' ,TESTtiESULTS In C1rcurt: designation 1 *Tobe completed only where this consumer umt 1s remote .., from the ongm ofthQ mstallallon g Record details of the c1rcutt ,upplyong 1h11 "onsumar unrt u in the bold box

2

3

4

5

6

7

8

9

10

11

12

13

14

CU.uot Ii conduRJra· c111 B

~ cpc J\ 2 :n~

Imm I lmm21 (1)

~ l\ g ~ ~ A:

Dvercummt prol!IC1lva dev,ca• RCO ~ Circutl impedance, lnsulatlon re1mrtance

BSfENI

ll All c,routts

(At .... .,,,_ lmltltm, U11e/Neutr1I ~mr/Eartll Nemllw!II '1

lobo""!llfldJ lcpo) IR,+ R,) R, IMO) fMOI (MO) (MO)

, l, rf II ~~;..:=_....j

!Al (kA) lmAl

'1- 11. LO -z Tl lO "').... 12 LO

€ l (✓)

M;moum RCD rnea~ured op~ratmg Te,i eatthfautt t1me1; hutloo

loop atl~ e1s 1 •• ope,lbOJI

mpedance. Z, C1..-~1

IOI (m,) lms) I ✓)

15

·fi ~f ;-r---------------t--t----t---t---t-t--t-------t-t--t--t--t-----,f---+--+--+--+--t---+--+--t---+----j---t--+----+------fi:.~1w j~! !§i~

.,2! mt! 16

17

18

\9

211

kA Loclrt1on of consumer unit /; ff )v.4 h / ll.~-..,. • Designation of consumer unit t I j, r 4.M t 61 fl""" ' 1 f 4J Prospec:t~:~::~:~n~! 4-. s 0 =;Te:;st:=,==ns=tru:::m::::::::en=:=ts=(,;=ss=n=a,:=n==am==b~e==rs=,}=use=.d~================;;;::;=====================L=e..==_=c)=, f;=/========:::::;

Insulation //,.. 7 l"7 I' /J resistance t,v v't> 0 VI Continuity ( e, l_ 'Z j {/ Earth electrode

resistance Earth fault loop

unpedance

This report is based on the model forms shown in Appendi~ 6 of BS 7671. Publ:shed by Certsure LLP. Certsure LLP operates the ELECSA & NICEIC brands. © Copyright Certsure LLP {July 2015)

7 6 l-?, 9 {.,' RCD

,-uE

OPN7i13