Tamil Nadu Generation and Distribution …

1 Tamil nadu Generation and Distribution corporation Limited ( tangedco ) TEST REPORT FORM - A No. _____ I/We have to inform you that installation at _____ _____ owned by _____ and occupied by _____ is ready for test. The details of installation are given in the following table. A. Lighting and Fans Description Number of Points Wattage of Points (W) Total Wattage (W) 1 Lights 2 Fans 3 Convenience wall plugs B. Domestic Electrical Apparatus 4 Cookers 5 Water Heaters 6 Refrigerators 7 Air-Conditioners 8 Pump sets 9 Convenience wall plugs 5 Amps 10 Convenience wall plugs 15 Amps 11 Others: 12 Others: 13 Others: 14 Others: Total: I .. (Name of the applicant), S/o .. applied for domestic service connection at .. ( address of the premises where service connection is sought ) undertake to state that wiring in the above premises has been done by the licensed wiring contractor as prescribed in the central Electricity Authority Regulations, 2010.

2 Further , I state that the safety norms stipulated in the Electricity Act, 2003, Central Electricity Authority (Measures relating the safety and electric supply) Regulations, 2010 and other instructions regarding safety has been followed in the above premises and I am fully responsible for any lapses regarding electrical safety in the above said premises. Witness: Date: Signature of the Owner FORM B Declaration of Contractor or/and the person holding a certificate of competency who is/are responsible for the construction of the installation. Electrical Installation at : Particulars of earthing: The continuous earth resistance is Description Domestic appliances Motor and Machinery Lighting Circuit 1 Insulation between conductor and earth 2 Insulation between poles 3 Number of points 4 Total connected load 5 Earth resistance CERTIFICATE: I certify that the installation detailed above has been constructed, inspected and tested by me and to the best of my knowledge and belief, it complies with the Indian Electricity Rules and Regulations made there under and current at the date of contractor for the work, except as stated below.

3 Signature of the Contractor With License No. and Date: date of expiry of the License The Work was carried out under my direct supervision. Signature of Wireman with Competency Certificate No. and Date: date of Expiry of the Certificate FORM - C SUPPLIERS REPORT I hereby certify that the installation has been inspected and tested by me, this day of _____ 20 . The installation value and earth resistance are _____. An earthed terminal has been provided at the point of supply as required under rule 33 of .Rule, 1956 and consumer s earthing system has been connected to the terminal. Supply to the premises has been effected. Meters Capacity Size Reading 1 2 3 Consumer s Signature Signature of Engineer In-charge of Distribution Signature of Wiring Contractors Signature of Competency Certificate Holders Note: (1) The first test and inspection will be carried out free of charges.

4 Further test of inspection necessitated by the faults in the installation or by non-compliance with conditions of supply will be carried out only on payment Rs. _____in advance. (2) Consumers are kindly requested to refrain from offering any sort inducements to any member of the staff, s this will no way expedite the work lessen its cost. (3) The test report should be written in triplicate. The first copy is to be sent through the concerned. The second copy should be sent immediately to the consumer. The third copy is to be retained in Section Office. Enclosure to FORM C TO BE FILLED UP BY JUNIOR ENGINEER TO BE FILLED IN THE OFFICE 1. Ref. to sanction No. with work order No. for sanction 2. Ref. to Sanction 3. Name of Distribution 4. Ref. to date of energisement in the case of extension of work 5. Date of acknowledgement of notice of availability of supply.

5 6. Amount of Charges collected Reference to Receipt No. and date 7. Amount of Charges collected Reference to Receipt No. and date 8. Whether agreement obtained or not 9. Contracted load as per agreement 10. Date of Commencement of supply 1. Entered in SCR Page Vol. 2. Entered in CL Page Vol. 3. Register item No. Vol. 4. Amount of 5. Reference to DAL 6. Entered in Agreement register page 7. Agreement verified 8. Junior Engineer/Asst. Engineer Asst. Accounts Officer Assistant Executive Engineer/Electrical