ELECTRICAL INSTALLATION CERTIFICATE

1 DETAILS OF THE CLIENTINSTALLATION ADDRESSDESCRIPTION AND EXTENT OF THE INSTALLATIONName:Occupier:Extent of INSTALLATION covered by this CERTIFICATE :Address:Address:Description of INSTALLATION :New installationAddition to anexisting installationexisting installationAlteration to ansee continuation sheet No:(Use continuation sheet if necessary)FOR DESIGNI/We being the person(s) responsible for the design of the ELECTRICAL INSTALLATION (as indicated by my/our signatures below), particulars of whichare described above, having exercised reasonable skill and care when carrying out the design hereby CERTIFY that the design work forwhich I/we have been responsible is to the best of my/our knowledge and belief in accordance with BS 7671:2008, amended to(date) except for the departures, if any, detailed as follows:Details of departures from BS 7671 (Regulations and ):The extent of liability of the signatory or the signatories is limited to the work described above as the subject of this the DESIGN of the INSTALLATION :Signature:Signature:Date:Da te:NameNameDesigner No.

2 1 Designer No. 2**(IN BLOCK LETTERS):(IN BLOCK LETTERS):FOR CONSTRUCTIONI/We being the person(s) responsible for the construction of the ELECTRICAL INSTALLATION (as indicated by my/our signatures below), particulars ofwhich are described above, having exercised reasonable skill and care when carrying out the construction hereby CERTIFY that theconstruction work for which I/we have been responsible is to the best of my/our knowledge and belief in accordance with BS 7671:2008,amended to(date) except for the departures, if any, detailed as follows:Details of departures from BS 7671 (Regulations and ):The extent of liability of the signatory is limited to the work described above as the subject of this CONSTRUCTION of the INSTALLATION :Signature:Date:(IN BLOCK LETTERS):ConstructorNEXT INSPECTIONFOR INSPECTION AND TESTINGI/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 are described above, having exercised reasonable skill and care when carrying out the inspection and testing herebyCERTIFY that the work for which I/we have been responsible is to the best of my/our knowledge and belief in accordance withBS 7671:2008, amended to(date) except for the departures, if any, detailed as follows:Details of departures from BS 7671 (Regulations and ):Constructor(IN BLOCK LETTERS):Date:Signature:For INSPECTION AND TESTING of the INSTALLATION .

3 The extent of liability of the signatory is limited to the work described above as the subject of this the designer(s), recommend that this INSTALLATION is further inspected and tested after an interval of not more thanTick boxes as appropriate**(Where there is mutual responsibility for the design)NameNameGargunnock Comunity CentreLeckie RoadGargunnockStirlingFK8 3 BJGargunnock Comunity CentreLeckie RoadGargunnockStirlingFK8 3 BJComunity CentreFull INSTALLATION 75% new and 25% alteration to exsisting12/02/13N/A12/02/2013C Brown12/02/13N/A12/02/2013C Brown12/02/13N/A12/02/2013C Brown5yearsELECTRICAL INSTALLATIONCERTIFICATEThe ELECTRICAL Contractors' AssociationCopyright The ELECTRICAL Contractors' Association of ScotlandEIThis CERTIFICATE is not valid if the number is defaced or altered360020 MEMBERSHIPSELECTNUMBER15019 This CERTIFICATE includes the entire content of the ELECTRICAL INSTALLATION CERTIFICATE in BS7671 - IET Wiring Regulations2011It was developed jointly by SELECT (the trading style of The ELECTRICAL Contractors' Association of Scotland) and the ELECTRICAL Contractors' Association.

4 (REQUIREMENTS FOR ELECTRICAL INSTALLATIONS -BS 7671 [IET WIRING REGULATIONS])The ELECTRICAL Contractors AssociationPage 1 PARTICULARS OF SIGNATORIES TO THE ELECTRICAL INSTALLATION CERTIFICATED esigner (No. 1)Name:Company:Address:Postcode:Tel. No.:Designer (No. 2)Name:Company:Address:Postcode:Tel. No.:ConstructorName:Company:Address:Post code:Tel. No.:InspectorName:Company:Address:Postco de:Tel. No.:SUPPLY CHARACTERISTICS AND EARTHING ARRANGEMENTS(if applicable)Earthing arrangementsTN-CTN-STN-C-STTITO ther sourcesof supply (to be detailedon attached schedules)Number and Type of , 2-wire2-phase, 3-wire3-phase, 3-wire3-phase, 4-wire2-wireNature of Supply ParametersSupplyExternal loop impedance, Ze BS (EN)TypeRated CurrentProtective DeviceCharacteristicsTick boxes and enter details as appropriateProspective fault current, Ipf(Note: (1) by enquiry,(2) by enquiry or by measurement)APARTICULARS OF INSTALLATION REFERRED TO IN THE CERTIFICATEM aximum DemandDetails of INSTALLATION Earth ElectrodeLocation( rod(s), tape etc)Means of Earthingearth electrodeInstallationDistributor'sfacili ty(where applicable)TypeElectrode resistanceto earthMaximum Demand (load)Main Protective ConductorsEarthing conductor:Main Protective bondingconductors.

5 To incoming water and/or gas serviceMain Switch / Switch-Fuse / Circuit-Breaker / RCDM aterialMaterialcsacsammmmContinuity and connection verifiedContinuity and connection verifiedTo other elementsBS (EN)LocationRated residual operating current I(in the case of an addition or alteration see section 633):mA, and operating time ofms (at I(applicable only where an RCD is suitableand is used as a main circuit-breakerCOMMENTS ON EXISTING INSTALLATIONSCHEDULESThe attached Schedules are part of this document and this CERTIFICATE is valid only when they are attached to of Inspections andSchedules of Test Results are attached.(Enter quantities of schedules attached). voltage, U/UokANominal Frequency, fHzV(1)(1)(2)(2) nn)Number of polesVoltage ratingFuse/device rating or settingAACurrent ratingVTick boxes and enter details as appropriate22C BrownGJ Nimmo electricalUnits 4,58 Ward StreetAlloaFK10 1ER01259 721985C BrownGJ Nimmo electricalUnits 4,58 Ward StreetAlloaFK10 1ER01259 721985C BrownGJ Nimmo electricalUnits 4,58 Ward StreetAlloaFK10 1ER01259 721985 YesN/AN/AN/AYesN/AN/ Rods or Back Door40010010028N/A12EI2011360020 Page 2 Methods of protection against electric shockBoth basic and fault protection:1(i)2(ii)3(iii)4(iv)Basic protection:5(i)6(ii)7(iii)8(iv)Fault protection.)

6 (i)Presence of earthing conductor9 Presence of circuit protective conductors10 Presence of protective bonding conductors11 Presence of supplementary bonding conductors12 Presence of earthing arrangements for13combined protective and functional purposes14 Presence of adequate arrangements forother sources, where applicableFELV1516 Choice and setting of protective and monitoringdevices (for fault and/or overcurrent protection)(ii)17 Absence of protective conductors(iii)18 Presence of earth-free local equipotentialbonding(iv)Provided forequipment1920 Provided forInspected by:Name (CAPITALS)Additional protection:21 Presence of residual current device(s)22 Presence of supplementary bondingconductorsSELVPELVD ouble insulationReinforced insulationInsulation of live partsBarriers or enclosuresObstaclesPlacing out of reachAutomatic disconnection of supply:Non-conducting location:Earth-free local equipotential bonding: ELECTRICAL separation:one itemof current-usingmore than one itemof current-using equipmentPrevention of mutual detrimental influence23(a)other influences24(b)use of Band II insulation25(c)Identification26(a)charts and similar information(b)warning notices2728(c)and terminals29(d)Cables and conductors30 Selection of conductors for current-carryingcapacity and voltage drop31 Erection methods32 Routing of cables in prescribed zones33 Cables incorporating earthed armour or sheath,or run within an earthed wiring system, orotherwise adequately protected against nails,screws and the likeAdditional protection provided by 30mA RCD for34cables concealed in walls (where required inpremises not under the supervision of a skilledor instructed person)

7 Connection of conductors3536 Presence of fire barriers, suitable seals andprotection against thermal effectsGeneral37 Presence and correct location of appropriatedevices for isolation and switching38 Adequacy of access to switchgear and otherequipment39 Particular protective measures for specialinstallations and locations40 Connection of single-pole devices for protectionor switching in line conductors only41 Correct connection of accessories andequipment42 Presence of undervoltage protective devices43 Selection of equipment and protectivemeasures appropriate to external influences44 Selection of appropriate functional switchingdevicesSignatureDateSegregation of Band I and Band II circuits orProximity to non- ELECTRICAL services andSegregation of safety circuitsPresence of diagrams, instructions, circuitPresence of danger notices and otherLabelling of protective devices, switchesIdentification of conductorsN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A N/AN/AC Brown12/02/2013 SCHEDULE OF INSPECTIONS(for new INSTALLATION work only)Notes.

8 To indicate an inspection has been carried out and the result is indicate that the inspection is not applicable to a particular entry must be made in every CERTIFICATE Serial 3 Type(seecodebelow) +csammWiring DetailsCircuit CPC Type AmpsOvercurrentDeviceBreakingCapacitykAC ontinuityR1+R2 or R2 RingFinalCctR2 R1+R2( )InsulationResistance(Lowest valuesmeasured)M L-LL-EPol-arityEarthFaultloopanceimped-( )RCD/RCBOP rotectionZs mA 100% *500%Time (ms)I n210L1/1 Back Store And Boiler House >299> >299> >299> Lighting Via Time >299> MainsGC2525C63L3/2 Sub MainsGC2525C63L1/3 Sockets Small >299> Hall >299> Sub MainsGC1616C63 >299> Main >299> Hall, Corridor, Wall and Em >299> >299> >299> INSTRUMENTS USEDM anufacturerManufacturerTypeTypeSerial AccuracyVerifiedVerifiedDate AccuracyMegger LimitedMulti-function InstallationTester100239610114275810/05/ 2012 CIRCUIT CHART AND SCHEDULE OF TEST RESULTS (36 CIRCUITS)Associated CERTIFICATE /Report Serial Board Reference and TypeDetails of circuits and/or installed equipmentvulnerable to damage when testingPhase sequence confirmedSupply polarity confirmedZs at DBIpf at DBohmskA(where appropriate)Codes forWiring TypePVC/PVCPVC in Metal ConduitPVC in Plastic ConduitPVC in Metal TrunkingPVC/SWAXPLE/SWAM ineral InsulatedABCDEPVC in Plastic TrunkingFGHO (Other - please specify)FP200 Signature2011 NAME (CAPITALS)Tested by.

9 Date+ Insert Reference Method(see Table 4A2 from BS 7671 Appendix 4)*30mARCDs onlyDB1360020 Back DoorCrabtreeLighting and Fire Brown12/02/2013 Page 4 CIRCUIT CHART AND SCHEDULE OF TEST RESULTS (15 CIRCUITS)Ipf at DBZs at DBkAohmsAssociated CERTIFICATE /Report Serial DETAILSTEST RESULTSO vercurrentType AmpsDeviceBreakingCapacitykALive CPCW iring +Type(seecodebelow) R1+R2 L-L N-NContinuity R1+R2or R2 CircuitFinal RingInsulationResistance(Lowest valuesmeasured)M Pol-arityEarthfault loopimped-anceZstionalRCD/RCBOP rotectionTestingFunc-RemarksL-LL-E( ) mA 100% *500%Time (ms)I n( )61 AUpstairs >299> >299> Room >299> >299> Lts, sani flow and >299> Sockets >299> Sockets >299> Lights and >299> Room >299> Socket >299> Plinth >299> *30mA RCDs only+ Insert Reference Method(see Table 4A2 from BS 7671 Appendix 4)Code forWiring TypePVC/PVC PVC in Metal Conduit PVC in Plastic ConduitPVC in Metal Trunking PVC in Plastic Trunking PVC/SWA XLPE/SWA Mineral InsulatedO (Other - please specify)ABCDEFGHDate AccuracyVerifiedTEST INSTRUMENTS USEDDate AccuracyVerifiedSerial LimitedMulti-function InstallationTester100239610114275810/05/ 2012 Tested by: NAME (CAPITALS)SignatureDate2011 Distribution Board Reference and TypeDetails of circuits and/or installed equipmentvulnerable to damage when testingPhase sequence confirmed (where appropriate)Supply polarity confirmedDB2360020 Store Cupboard 1ST Brown12/02/2013 Page 5 ELECTRICAL INSTALLATION CERTIFICATEGUIDANCE FOR RECIPIENTSThis safety CERTIFICATE has been issued to confirm that the ELECTRICAL INSTALLATION work to which it relates has been designed,constructed, inspected and tested in accordance with British Standard 7671 (the IET Wiring Regulations).

10 You should have received an original CERTIFICATE and the contractor should have retained a duplicate. If you were the personordering the work, but not the owner of the INSTALLATION , you should pass this CERTIFICATE , or a full copy of it including the schedules,immediately to the original CERTIFICATE should be retained in a safe place and be shown to any person inspecting or undertaking further work onthe ELECTRICAL INSTALLATION in the future. If you later vacate the property, this CERTIFICATE will demonstrate to the new owner that theelectrical INSTALLATION complied with the requirements of British Standard 7671 at the time the CERTIFICATE was issued. TheConstruction (Design and Management) Regulations require that, for a project covered by those Regulations, a copy of thisCertificate, together with schedules, is included in the project health and safety safety reasons, the ELECTRICAL INSTALLATION will need to be inspected at appropriate intervals by a competent person.