DOMESTIC ELECTRICAL INSTALLATION CERTIFICATE Certificate Reference:

Issued in accordance with British Standard BS 7671 - Requirements for Electrical Installations

DETAILS OF THE CLIENT ADDRESS OF THE INSTALLATION

Client: Installation:

Address: Address:

Postcode: Postcode:

DETAILS OF THE INSTALLATION

The Installation is:
Extent of the
installation covered New
by this certificate:
An addition

An alteration

DESIGN, CONSTRUCTION, INSPECTION AND TESTING

I/we, being the person(s) responsible for the design, construction, inspection and testing of the electrical installation (as indicated by my/our signature adjacent), particulars of which are
described above, having exercised reasonable skill and care when carrying out the design, construction, inspection and testing, hereby CERTIFY that the said work for which
I/we have been responsible is, to the best of my/our knowledge and belief, in accordance with BS 7671: amended to (date) except for the departures,
if any, detailed as follows:
Details of departures from BS 7671, as amended (Regulations 120.3, 120.4):
The extent of liability of the signatory is limited to the work described above as the subject of this certificate. For the DESIGN, the CONSTRUCTION and the INSPECTION AND
TESTING of the installation:
Name: Position: Signature: Date:

DETAILS OF THE ELECTRICAL CONTRACTOR NEXT INSPECTION

Trading Title: I RECOMMEND that this installation is further inspected and tested
after an interval of not more than:
Address:
COMMENTS ON EXISTING INSTALLATION

Postcode:

SCHEDULE OF ADDITIONAL RECORDS

Registration Number: Note: Additional page(s) must be identified by the Domestic Electrical Installation Certificate serial and
page number(s).
Telephone Number: Page No(s):

This form is based on the model shown in Appendix 6 of BS 7671:2008 Page: 1 of 3

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 SUPPLY CHARACTERISTICS AND EARTHING ARRANGEMENTS
Characteristics of Primary Supply
System Type(s) Number and Type of Live Conductors Nature of Supply Parameters Overcurrent Protective Device(s)
1-phase 1-phase Nominal
TN-S U: V Nominal frequency, f: Hz BS(EN):
(2 wire): (3 wire): voltage(s):
3-phase 3-phase Uo: External earth fault
TN-C-S (3 wire): (4 wire): V loop impedance, Ze:  Type:
Short-circuit
TT Other: Prospective fault current, lpf: kA Rated current: A capacity: kA

PARTICULARS OF INSTALLATION AT THE ORIGIN

Measured Ze: 
Means of Earthing Details of Installation Earth Electrode (where applicable)
Distributor's Protective measure(s) against
facility: Type: Location: electric shock:
Installation Electrode Method of
resistance, RA:  measurement: Maximum Demand (Load):
earth electrode:
Main Switch or Circuit-Breaker Earthing and Protective Bonding Conductors
Type Earthing conductor
Voltage rating: V
BS(EN):
Conductor Conductor Continuity
Number of Rated current, mm2
A material: csa: check:
poles: ln:
Main protective bonding conductors
Supply
conductors RCD operating Conductor Conductor
mA mm2
material: current: material: csa:
Supply RCD operating Bonding of extraneous-conductive parts
conductors mm2 time: ms
Water service: Oil service: Gas service: Structural Steel: Other services:
csa:
SCHEDULE OF ITEMS INSPECTED Identification (Continued) Cables and conductors (Continued)
Presence of other warning notices, including
Methods of protection against electric shock Electrical Separation Connection of conductors
presence of mixed wiring colours
Provided for one item of current-using
Basic and fault protection: SELV Labelling of protective devices, Presence of fire barriers, suitable seals and
equipment
Double or reinforced insulation: switches and terminals protection against thermal effects
Additional protection:
Double or Reinforced Insulation Identification of conductors General
Presence of residual current device(s) Presence and correct location of appropriate
Basic protection: devices for isolation and switching
Presence of supplementary bonding Cables and conductors
Insulation of live parts Selection of conductors for current Adequacy of access to switchgear and other
conductors
Prevention of mutual detrimental influence carrying capacity and voltage drop equipment
Barriers or enclosures
Proximity of non-electrical services Erection methods Particular protective measures for special
Fault protection: and other influences installations and locations
Automatic disconnection of supply Segregation of Band I and Band II Routing of cables in prescribed zones
or within mechanical protection Connection of single-pole devices for
Presence of earthing conductor circuits or use of Band II insulation protection or switching in line conductors
Segregation of safety circuits Cables incorporating earthed armour or only
Presence of circuit protective sheath, or run within an earthed wiring
conductors Correct connection of accessories and
Identification system, or otherwise adequately protected equipment
Presence of main protective bonding Presence of diagrams, instructions, against nails, screws and the like
conductors circuit charts and similar information Additional protection provided by 30mA Selection of equipment and protective
Choice and setting of protective and RCD for cables in concealed walls (where measures appropriate to external influences
Presence of danger notices
monitoring devices (for fault protection required in premises not under the Selection of appropriate functional switching
and/or overcurrent protection) supervision of skilled or instructed persons) devices

SCHEDULE OF ITEMS TESTED

Operation of residual current
External earth fault loop impedance, Ze Continuity of ring final circuit conductors Polarity device(s)
Installation earth electrode resistance, RA Insulation resistance between live conductors Earth fault loop impedance, Zs Functional testing of assemblies

Continuity of protective conductors Insulation resistance between live conductors Verification of phase sequence Verification of voltage drop
and earth
This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: _______________ Page: 2 of 3

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 CIRCUIT DETAILS AND TEST RESULTS
Circuit
Insulation resistance RCD Operating

permitted by BS7671

permitted by BS7671
conductors: Overcurrent protective RCD Circuit impedances ohms

Max disconnect time

Maximum measured
devices (record lower or lowest value) times
csa

Reference Method
All circuits

earth fault loop

Ring final circuits only

impedance Zs
Neutral/Earth
(one column to
Circuit number

Maximum Zs
Type of wiring

Line/Neutral
(measured end to end)

points served

Line/nEarth
Circuit designation be completed)

Operating

Line/Line
Number of

Capacity
Type No
Live cpc BS(EN) At ln At 5 ln

Polarity
current
Rating
r1 rn r2 R1+R2 R2

mm2 mm2 s A kA mA  (Line) (Neutral) (cpc) M M M M   ms ms

Prospective fault current

Location of consumer unit(s): Designation of consumer unit(s): at consumer unit(s): kA

TEST INSTRUMENTS Multi-functional: Insulation resistance: Continuity:

Earth electrode resistance: Earth fault loop impedance: RCD:

This form is based on the model shown in Appendix 6 of BS 7671:2008 Reference: _______________ Page: 3 of 3

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