93Ringsend Road, Dublin 4.

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TEST RECORD SHEET

Date: Sheet No. Tested By: MPRN No.

Name: Address: Contact No.

Visual Inspection Completed Metering required:

Distribution Board

Ref Location

Main Protective Device Rating amps

Supply Cable to DB Size mm sq.

Electricity Supply

Voltage v

Frequency Hz

No.of Phases

Earthing

TN-C-S

TT

Specify Other

Installation Type
New

Rewire

Existing

Addition

Temp

Other

Bonding

Continuity of Bonding Conductors Verified

Earth Electrode Verified

Bonding Verified for:

Water

Gas

Other

Resistance of Earthing Conductor

Maximum Resistance of Earthing Conductor ohms

Circuit No. MCB Type Rating amps

Circuit
No.
Circuit
Designation
Cable
Type Size
No. of
Points
Overcurrent Protection
Type Amps
Continuity
Protective
Conductors
Continuity
Ring Circuit
Conductors
Polarity
Verified
L To E L1 To All Lives L2 To All Lives L3 To All Lives N To All Lives L-E Fault Loop RCD Trip Time