Appendix C — Completion Certificate Form (Electrical Works)

I/we certify that the installation detailed below has been installed by me/us and tested and that to the best of my/our knowledge and belief, it complies with the requirements of Bangladesh National Building Code and the Electricity Act of Bangladesh.

Electrical Installation at :

Voltage and system of supply :

PARTICULARS OF WORKS

(a) Internal Electrical Installation

No.     Total load       Type or system of wiring

(i) Light points

(ii) Fan points

(iii) Socket points

2-pin 5 A

3-pin 13 A Flat pin

3-pin 15 A Round Pin

(b) Others Description hp/kW Type of starting

(1) Motors

(i)

(ii)

(iii)

(2) Other Plants

(c) If the work involves installations of overhead line and/or underground cable
(1)    (i)       Type and description of overhead line
       (ii)      Total length and number of spans
      (iii)      Number of street lights and its description

(2) (i) Total length and size of underground cable

(ii) Number of joints

End joint

Tee joint

Straight through joint

(d) Earthing

(i) Description of earthing electrode

(ii) Number of earth electrodes Type and short description of Brass

(iii) Earthing Clamp Number of Brass Bolt Nuts provided in

(iv) the Brass Earthing Clamp for the termination of Earth Lead Cables

(v) Size of each of the main earth lead cables

(vi) Number of main earth lead cables

TEST RESULTS

(a) Insulation Resistance values:

       Insulation resistance of the whole system of conductors to earth
(i)
       _________________ mega ohms

(ii) Insulation resistance between the phase conductor and neutral

        Between phase R and neutral _________________ mega ohms
        Between phase Y and neutral _________________ mega ohms
        Between phase B and neutral _________________ mega ohms
        Insulation resistance between the phase conductors in case of polyphase
(iii)
        supply
        Between phase R and phase Y _________________ mega ohms
        Between phase Y and phase B _________________ mega ohms
        Between phase B and phase R _________________ mega ohms

(b) Polarity test

Polarity of nonlinked single pole branch switches

(c) Earth continuity test

Maximum resistance between any point in the earth continuity conductor
including metal conduits and main earthing lead _____________ohms

(d) Earth electrode resistance

Resistance of each earth electrode

(i)     _________________________ ohms
(ii)    _________________________ ohms

(iii) _________________________ ohms

      (iv)    _________________________ ohms
(e) Lightning protective system

Resistance of the whole of lightning protective system to earth before any
bonding is effected with earth electrode and metal in/on the structure
_______________ ohms

__________________                              
Signature of Supervisor                         Signature of Contractor

Name and Address _________________           Name and Address ___________________
 _______________________________             _________________________________
 ________________________________            _________________________________