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 installat

1-phase (2 wire) 1-phase (3 wire) 2-phase (3 wire) 3-phase (3 wire) 3-phase (4 wire) 2 pole 3 pole other Other (Please state) Nominal Voltage U (1) V Nominal frequency f (1) Hz Prospective fault current (2/3) kA External earth fault loop impedance Ze (3/4) Ω Number of supplies 1) by enquiry NOTES: (2) by enquiry or by measurement BS(EN) Type Rated

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