Original Certificate Certificate reference: ELECTRICAL ...

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Original CertificateCertificate reference : ELECTRICAL INSTALLATION CONDITION REPORT (Requirements for ELECTRICAL Installations BS 7671 IEE Wiring Regulations)DETAILS OF THE CLIENTName:Address:PURPOSE FOR WHICH THIS REPORT IS REQUIREDThis report must be used only for reporting on the condition of an existing (s):DETAILS OF THE INSTALLATIONOccupier:Address:Description of Premises:Domestic Commercial Industrial OtherEstimated age of the ELECTRICAL Installation:YearsEvidence of Alterations or Additions: If yes estimated age:YearsDate of previous Inspection: ELECTRICAL Installation Certificate No: or previous Periodic Inspection report No:Records of installation held by: EXTENT OF THE INSTALLATION AND LIMITATIONS OF THE INSPECTION AND TESTINGExtent of the ELECTRICAL installation covered by this report:Agreed Limitations (including the reasons), if any, on the inspection and testingOperational limitations including the reasons (see page No.)

INSPECTION SCHEDULE FOR DISTRIBUTION BOARDS AND CIRCUITS Item Description Outcome* Location reference 1.0 Condition/adequacy of distributor’s supply intake equipment

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