GOV.UK
MOD FORM 2208
GENERIC SCHEDULE OF ELECTRICAL INSTALLATION TEST RESULTS
|Site: |Building: |
|Installation Test Results - Page 1 of 4 |
|Distribution Board Details: |
|DB Reference Number | |
|Location | |
|Zs at DB(Ω) | |
|Ipf at DB (kA) | |
|Correct Supply Polarity Confirmed? |
|Phase Sequence Confirmed (Where Appropriate)? |
|Details of circuits and/or installed equipment vulnerable to damage when testing: |
| |
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|Details of test instruments used: |
|Serial / Asset Number | |
|Continuity | |
|Insulation Resistance | |
|Earth Fault Loop Impedance | |
|RCD | |
|Earth Electrode Resistance | |
|Impedance Measured | |
|Tested by: |
|Name (Block Capitals) | |
|Signature | |
|Date (DD/MM/YYYY) | |
|Site: |Building: |
|Installation Test Results - Page 2 of 4 |
|Circuit Number & Phase |
|A |
|Name (Block Capitals) | |
|Signature | |
|Date (DD/MM/YYYY) | |
|Site: |Building: |
|Installation Test Results - Page 3 of 4 |
|Circuit Number & Phase |
|Name (Block Capitals) | |
|Signature | |
|Date (DD/MM/YYYY) | |
REMEDIAL ACTIONS ARISING FROM GENERIC SCHEDULE OF TEST RESULTS
|Site: |Building: |
|OBSERVATION |CLASSIFICATION CODE |Recommended remedial action |Date of Action Complete |
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Inspected by:
Name (Capitals) ………………………………………………..
Signature ……………………………………………................
Date ……………………………………………........................
Classification Codes
Each observation relating to a concern about the safety of the installation shall be attributed an appropriate Classification Code selected from the standard codes C1, C2 and C3 as follows:
Code C1 ‘Danger present’ Risk of injury. Immediate remedial action required
Code C2 ‘Potentially dangerous’ Urgent remedial action required
Code C3 ‘Improvement recommended’
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