LEISURE ACCOMMODATION VEHICLE PERIODIC INSPECTION REPORT

This certificate is not valid if the serialnumber has been defaced or altered LPN3/0306845

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Issued in accordance with British Standard 7671-Requirements for Electrical Installationsby an Approved Contractor enrolled with NICEIC, Warwick House, Houghton Hall Park, Houghton Regis, Dunstable LU5 5ZX.

A. DETAILS OF THE CLIENT

Client /Address:

ALLHALLOWS LEISURE PARKRV17ALLHALLOWS ON SEAROCHESTERKENT

Postcode: ME39QD

B. VEHICLE MANUFACTURER

Name: WILLERBY HOLIDAY HOMES

Address: IMPERIAL HOUSE1251 HEDON ROADHULL

Postcode: HU9 5NA

C. VEHICLE DETAILS

Model:name:

SALSA

N/A

Model:year:

2013

VIN:

D. PURPOSE OF THE REPORT Ú (see note below)

Purpose forwhichthis reportis required:

AS REQUESTED BY CLIENT FOR AUDIT AND INSURANCE PURPOSES.

E. EXTENT OF THE INSTALLATION AND LIMITATIONS OF INSPECTION AND TESTING Û (see note below)

Extent of theelectricalinstallationcovered bythis report:

25% SAMPLE TEST OF HARD WIRED ELECTRICAL INSTALLATION.DOES NOT COVER CENTRAL HEATING OR ALARM SYSTEMS.

Agreedlimitations(including thereasons),ifany, on theinspectionand testing:

N/A

F. PARTICULARS OF THE APPROVED CONTRACTOR

3092 ELECTRICAL LTDTrading

Title:

Address: 92 DUDLEY ROADROMFORDESSEX

Postcode: RM3 8LL

NICEIC Enrolment No:(Essential information)

042683 Branch No:(if applicable)

000

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), particulars of which aredescribed above (see B and C), having exercised reasonable skill and care when carring out the inspection and testing, hereby delcare that the information in this report,including the observations (see H) and the attached schedules (see M,N,O and P), provides an accurate assessment of the condition of the electrical installation takinginto account the stated extent of the installation and the limitations of the inspection and testing (see E).

I/We further declare that in my/our judgement, the said installation was overall inwas carried out, and that it should be further inspected as recommended (see J).

a satisfactory condition (see I) at the time the inspectionÝ

Ý (Insert "a satisfactory"or "an unsatisfactory" ,as appropriate)

INSPECTION, TESTING AND ASSESSMENT BY:

Signature:

KARL OSBORNE

Position: ELECTRICIAN

Name:(CAPITALS)

Date: 21-May-13

REPORT REVIEWED AND CONFIRMED BY: *(See note below)

Signature:

GARY TUCKERName:(CAPITALS)

Date: 21/05/2013

(Registered Qualified Supervisor for the Approved Contractor at F)

Please see the 'Notes for Recipients'on the reverse of this page.

Ú This Leisure Accommodation Vehicle Periodic Inspection Report must be used only for reporting on the condition of an existing installation.Û The inspection and testing have been carried out in accordance with BS 7671, as amended. Cables concealed within trunking and conduits, or cables and conduits concealed under floors,and generally within the fabric of the Leisure Accommodation Vehicle, have not been visually inspected.* This Leisure Accommodation Vehicle Inspection Report should be reviewed and confirmed by the registered Qualified Supervisor of the Approved Contractor responsible for issuing it.

This form is based o nthe model Periodic Inspection Report shown in Appendix 6 of BS 7671:2001.Published by Certsure LLP. Certsure LLP operates the Elecsa & NICEIC brands. © Copyright Certsure LLP (May 2013).

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The certificate does not apply to those electrical circuits and equipment covered by the Road Vehilces Lighting Regulations 1989 no to electrical installations covered byBS EN 1648-1:2004 and BS EN 1648-2:2005 Leisure accommodation vehicles 12 V direct current extra low voltage electrical installations, Caravans and Motor Caravans respectively.

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This certificate is not valid if the serialnumber has been defaced or altered LPN3/0306845

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the

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Please see the 'Notes for Recipients'on the reverse of this page.

H. OBSERVATIONS AND RECOMMENDATIONS FOR ACTION TO BE TAKEN

Referring to the attached schedules of inspection and test results, and subject to the limitations at E:

Item No CodeÚ

There are no items adversely affecting electrical safety. áor

The following observations and recommendations are made. N/A

Note: If necessary, continue on additional page(s), which must be identified by the Leisure Accommodation Vehicle Periodic Inspection Report serial number and page number(s).

Ú Where observations are made, the inspector will have entered one of the following codes against each observation to indicate the action (if any) recommended:-

1.3.

2.4.

'requires urgent attention' or'requires further investigation' or

'requires improvement' or'does not comply with BS 7671'

Please see the reverse of thi s page for guidance regarding recommendations.

Urgent remedial work recommended for Items:N/A Corrective action(s) recommended for Items:N/A

I. SUMMARY OF THE INSPECTION

General condition of the installation:GOOD CONDITION.

Note: If necessary, continue on additional page(s), which must be identified by theTransportable Building Periodic Inspection Report serial number and page number(s).

Evidence of alterationsor additions: N/A If yes, estimated age: yearsN/A

Electrical Installation Certificate no. orprevious Periodic Inspection Report no.:

NOT KNOWN

Date(s) of theinspection

21/5/13 Date of previousinspection:

N/A

Overall assessmentof the installation

Satifactory

(Entry should read either 'Sati sfactory' or 'Unsati sfactory' )

L. PARTICULARS OF VEHICLE INSTALLATION

Nominal voltage(s)

U(V)

UÒ(V)

Numberof

phases

Main Switch Flexible supply cable (for touring caravans and motor caravans only)

Type[BS (EN) ....]

Voltagerating

(V)

Ratedcurrent, IÐ

(A)

Short-circuitcapacity

(kA)

Residualoperatingcurrent IÜ

Type[BS (EN) ....]

csa(mmâ)

Iz(A)

Length(m)

(Rã+Rå)cs(É)

230 1 61008 230 40 10 30 N/A

Protective measure(s)against electric shock: Main equipotential bonding to extraneous-conductive-parts: Main protective bonding conductors:

ADS Water supplyconnection N/A Gas supply

connection á Oil supplyconnection N/A Vehicle chassis á Other

CHASSIS/TINMaterial

COPPERcsa (mmâ)

6

K. TRANSPORTABLE BUILDING PARAMETERS

Nominal voltageUÒ/U:

Nominal frequency:

No of Phases:

Maximum load perphase provision:

230 V / V

50 Hz

1

16 Amps

Acceptable systemtype(s):

Maximum tolerablefault current:

Maximum tolerable upstreamearth fault loop impendance, Z T

:TNS É

kA

J. NEXT INSPECTION

I/We recommend that this installation is furtherinspected and tested after an interval of not more than:

provided that any item at H which have been attributed aRecommendation Code 1 (requires urgent attentionand Code 2 ( requiresimprovement) are remedied without delay and as soon as possibleresectively. Items which have been attributed a RecommendationCode 3 should be actioned as soon as practicable (see H).

THREE YEARS

(Enter interval in terms of yearsor months, as appropriate)

This form is based on the model Periodic Inspection Report shown in Appendix 6 of BS7671: 2008.Published by Certsure LLP. © Copyright Certsure LLP (May 2013)

The certificate does not apply to those electrical circuits and equipment covered by the Road Vehilces Lighting Regulations 1989 no to electrical installations covered byBS EN 1648-1:2004 and BS EN 1648-2:2005 Leisure accommodation vehicles 12 V direct current extra low voltage electrical installations, Caravans and Motor Caravans respectively.

LEISURE ACCOMMODATION VEHICLE PERIODIC INSPECTION REPORT SCHEDULES

This certificate is not valid if the serialnumber has been defaced or altered LPN3/0306845

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SCHEDULE OF ITEMS INSPECTED ÚSee note below

Protective measures against electric shock

Basic and fault protection

Extra low voltage

Double or reinforced insulation

Double or reinforced insulationá

SELVá

Basic protection

Insulation of live partsá Barriers or enclosuresáFault protection

Automatic disconnection of supply

Presence of earthing conductoráPresence of circuit protective conductorsáPresence of main protective bonding conductorsáChoice and setting of protective devices(for faultprotection and/or overcurrent)á

Electrical seperation

For N/A one item of current-using equipment

Additional protection

Presence of residual current device(s)áPresence of supplementary bondingconductorsN/A

Prevention of mutual detrimental influence

Proximity of non-electrical services andother influencesáSegregation or Band I and Band IIcircuits of Band II insulation usedN/A

Segregation of safety circuitsN/A

Identification

Presence of diagrams, instructions,circuit charts and similar informationá

Presence of danger noticesáPresence of other warning notices,includingpresence of mixed wiring coloursáLabelling of protective devices,switches and terminalsá

Identification of conductorsáCables and conductors

Selection of conductors for current carryingcapacity and voltage dropáErection methodsá

Cables and conductors (cont)

Routing of cables in prescribed zonesáCables incoprporating earthing armour or sheathor run in an earthed wiring system,or otherwiseprotected against nails, screws and the like

áAdditional protection by 30mA RCD (whererequired, in premises not under thesupervision of skilled or instructed persons)

á

Connection of conductorsáPresence of fire barriers, suitable sealsand protection against thermal effectsá

General

Presence and correct location of appropriatedevices for isolation and switchingáAdequacy of access to switchgearand other equipmentáParticular protective measures forspecial installations and locationsáConnection of single-pole devices for protectionor switching in line conductors onlyáCorrect connections of accessories andequipmentáSelection of equipment and protectivemeasures appropriate to external influencesáSelection of appropiate functional switchingdevicesá

SCHEDULE OF ITEMS TESTED

Continuity of protective conductorsá

Continuity of ring final circuit conductionsá

Insulation resistance between live conductorsáInsulation resistance between live conductorsand earthá

Polarityá

Verification of phase sequenceN/A

Operation of residual current device(s)á

Functional testing of assembliesá

Verification of voltage dropá

Measurements of (Rã+Rå)fc and (Rã+Rå)csáÚ See note Below

SCHEDULE OF CIRCUIT DETAILS

Circ

uit n

umbe

r

Circuit designation

D =

Dis

tribu

tion

circ

uit

F =

Fin

al c

ircui

t

Type

of w

iring

(see

cod

e be

low

)

Refe

renc

e

Þ

met

hod

Num

ber o

fpo

ints

ser

ved

Live

(mmâ)

Circuitconductors: csa

cpc

(mmâ)

Max

. dis

conn

ectio

ntim

e pe

rmitt

edby

BS

7671

(s)

BS (EN)

Type

No

Ratin

g

(A)

Overcurrent protective devices

Shor

t-circ

uit

capa

city

(kA)

RCD

Oper

atin

gcu

rrent

, IÜ

(mA)

Max

imum

Öpe

rmitt

ed b

y BS

767

1

(É)

1 SOCKETS F A B 15 2.5 1.5 0.4 60898 MCB B 32 30 1.44

2 LIGHTS F A B 11 1 1 0.4 60898 MCB B 6 30 7.67

SCHEDULE OF TEST RESULTS

rã(Line)

rÐ(Neutral)

Ring final circuits only(measured end to end)

rå(cpc)

Circuit impedances(É)

All circuits

Rã + Rå

Circuit impedances(É)

All circuits(At least one column

to be completed)

Rå

Line/Line

(MÉ)

Line/Neutral

(MÉ)

Line/Earth

(MÉ)

Insulation resistance

Neutral/Earth

(MÉ)

Polarity

(á)

Maximummeasured earth

fault loopimpedance, Ö

* See note below

(É)

at IÜ

(ms)

RCD operatingtimes

at 5IÜ

(if applicable)

(ms)

Testbutton

operation

(á)

CODE

S FO

R TY

PE O

F W

IRIN

G

AB

CD

EF

GH

IJ

K

PVC/

PVC

cabl

esN

/APV

C ca

bles

in n

on-m

atal

licco

ndui

tN

/APV

C ca

bles

in n

on-m

etal

lictr

unki

ngN

/AN

/AN

/AFl

exib

le s

ingl

e-co

rein

sula

ted

cond

ucto

rs in

non-

met

allic

con

duit

Stra

nded

(min

7st

rand

s)in

sula

ted

cond

ucto

rs in

non

met

allic

con

duit

Shea

thed

flexi

ble

cabl

es

.53 .53 .83 .35 >999 >999 >999 á 44 16

1.56 >999 >999 >999 á 44 16

Multi-functional1001066101084226 Insulation resistance1001066101084226 Continuity1001066101084226 RCD1001066101084226

Test instruments (serial numbers) used:

Multi-functionalInsulationresistance Continuity RCD

Ú All boxes must be completed.'á' indicates that an inspection or a test was carried out and that the result was sat isfactory .'X' ind icates that the inspect ion or test was car r ied out and the resu lt was unsat isfactory .'N/A' indicates that an inspection or a test was not app licab leto the particular installation. 'LIM' indicates that exceptionally, a limitation agreed with the person ordering the work (as recorded in section E) prevented the inspection or test being carried out.The certificate does not apply to those electrical circuits and equipment covered by the Road Vehilces Lighting Regulations 1989 no to electrical installations covered byBS EN 1648-1:2004 and BS EN 1648-2:2005 Leisure accommodation vehicles 12 V direct current extra low voltage electrical installations, Caravans and Motor Caravans respectively.

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