FORM III

(Installations of voltage exceeding 650V)

Report No. __________
Date of inspection by Electrical Inspector or self-certification by owner _____________
Date of last inspection or self-certification __________________

Sl. Regulation Requirements Report

No. Nos
1. Regulation-3 Is the register of the designated persons properly Yes/No
made and kept up to date duly attested?
2. Regulation- (i) Is/Are there any visible sign(s) of overloading Yes/No
12 in respect of any apparatus?
(ii) Whether any unauthorised temporary Yes/No
installation exist?
(iii) Whether the motors and controlling Yes/No
equipment are being over hauled
periodically and record kept of the same in
a register?
(iv) Whether the transformer oil samples are Yes/No
being tested periodically and results
recorded in a register?
(v) Whether suitable lightning arrestors have Yes/No
been provided near the transformers for
protection against lightning?
(vi) Whether earth resistance is being measured Yes/No
periodically and results recorded in a
register?
(vii) Any other defect or condition which may Yes/No
be a source of danger. If Yes please
explain?
(viii) Whether operation and maintenance Yes/No
data has been clarified, categorized and
computerized for prompt and easy
retrieval?
(ix) Whether predictive maintenance is being Yes/No
performed for installation of voltage
exceeding 650V?
(x) Whether residual life assessment and life Yes/No
extension programmes are being
undertaken for installations or equipment of
voltage exceeding 650V (applicable for
installations or equipment more than 15
years old)?
(xi) Whether all required type and routine tests at Yes/No
factory done for equipments. Deficiencies and
Discrepancies in above test report and results,
if any, shall be reported?
(xii) Are there deficiencies in construction with Yes/No
reference to Indian Standard requirements.
Please specify.
3. Regulation- Give report on condition of service lines, cables, Satisfactory/Not
13 wires, apparatus and such other fittings placed Satisfactory
by the supplier or owner of the premises. If not
satisfactory give details.
4. Regulation- Whether suitable cut-outs provided by the Yes/No
14 supplier at the consumer’s premises are within
enclosed fire proof receptacle?
5. Regulation- (i) Whether switches are provided on live Yes/No
15 conductors?.
(ii) Whether indication of a permanent nature is Yes/No
provided as per Regulation so as to
distinguish neutral conductor from the live
conductor?.
(iii) Whether a direct line is provided on the Yes/No
neutral in the case of single phase double
pole iron clad switches instead of fuse ?
6. Regulation- (i) Whether earthed terminal is provided by the Yes/No
16 supplier?.
(ii) General visible condition of the earthing Satisfactory/Not
arrangement. Satisfactory
7. Regulation- (i) Are bare conductors in building inaccessible? Yes/No
17 (ii) Whether readily accessible switches have
been provided for rendering them dead? Yes/No
8. Regulation- 13. Whether “Danger Notice” in Hindi and the local Yes/No
18 language of the district and of a design as per
relevant Indian Standard is affixed permanently
in conspicuous position?.
9. Regulation- (i) Whether the practice of working on live lines Yes/No
19 and apparatus is adopted ? If so, have the
safety measure been adopted as per
Schedule-III ?
(ii) Whether insulating floor or mats conforming Yes/No
to IS-15652:2006 have been provided?
14. (iii) Whether identification of panel has
been provided on the front and the rear of Yes/No
the panel?
10. Regulation- Whether flexible cables used for portable or Yes/No
21 transportable equipment covered under the
Regulation, are heavily insulated and adequately
protected from mechanical injury?.
11. Regulation- State the condition of metallic coverings Satisfactory/Not
22 provided for various conductors. Satisfactory
12. Regulation- Whether the circuits or apparatus intended for Yes/No
24 operating at different voltage(s) are
distinguishable by means of indication(s) of
permanent nature?.
13. Regulation- Whether all circuits and apparatus are so Yes/No
26 arranged that there is no danger of any part(s)
becoming accidentally charged to any voltage
beyond the limits of voltage for which it/they
is/are intended ?
14. Regulation- (i) In the case of generating stations and Yes/No
27 enclosed sub stations, whether fire-buckets
filled with clean dry sand have been
conspicuously marked and kept in
convenient situations in addition to fire-
extinguishers suitable for dealing with
electric fires ?
(ii) Whether First Aid Boxes or cupboards Yes/No
conspicuously marked and properly
equipped are provided and maintained?.
(iii) Is adequate staff trained in First Aid Yes/No
Treatment and fire fighting?
15. Regulation- (i) Whether instructions in English or Hindi and Yes/No
28 the local language of the district and where
Hindi is the local language, in English and
Hindi, for the resuscitation of persons
suffering from electric shock have been
affixed in a “conspicuous place” ?.
(ii) Are the designated persons able to apply Yes/No
instructions for resuscitation of persons
suffering from electric shock ?
16. Regulation- Leakage on premises:
34 State insulation resistance between conductors ----- M Ohms
and earth in Mega Ohms.
17. Regulation- (i) Whether a suitable linked switch, or circuit Yes/No
35 breaker, or emergency tripping device is
placed near the point of commencement of
supply so as to be readily accessible and
capable of being easily operated to
completely isolate the supply?
(ii) Whether suitable linked switch or a circuit Yes/No
breaker to carry and break the full load
current on the secondary side of a
transformer?
(iii) Whether every distinct circuit is protected Yes/No
against excess electricity by means of a
suitable circuit breaker or cut-out?
(iv) Whether linked switch or circuit breaker or Yes/No
emergency tripping device is provided near
the motor or other apparatus at voltage
exceeding 650V but not exceeding 33kV Yes/No
for controlling supply to the motor or
apparatus?
(v) Whether adequate precautions are taken to Yes/No
ensure that no live parts are so exposed as
to cause danger?
18. Regulation- (i) Whether clear space of 100 cm is provided Yes/No
37 in front of the main switchboard?.
(ii) Whether the space behind the switchboard Yes/No
exceeds 75 cm in width or is less than 20
cm?.
(iii) In case the clear space behind the Yes/No
switchboard exceeds 75 cm. State whether
 a passage way from either end of the
switchboard to a height of 1.80 meters is
provided.
19. Regulation- (i) Whether all conductors and apparatus Yes/No
44 including live parts thereof are
inaccessible?
(ii) Whether all windings of motors or other Yes/No
apparatus are suitably protected?
(iii) State in case of transformers or reactors or Yes/No
switches or static condensers involving the
use of more than 2,000 litres of oil in one
chamber, if suitable oil soak pits are
provided?
(iv) Where 9,000 litres or more of oil is used in Yes/No
any one oil tank, has provision, been made
for draining away or removal of oil which
may leak or escape from such tank(s)?
(v) Whether trenches inside sub-station Yes/No
containing cables are filled with non-
inflammable material or completely
covered with non- inflammable slabs?
(vi) Are conductors and apparatus so arranged Yes/No
that they may be made dead in sections for
carrying out work thereon?
20. Regulation- Whether protections and interlocks have been Yes/No
45 provided? If not, give details.
21. Regulation- (i) Have the frames of every generator, Yes/No
48 stationary motor, and so far as practicable
portable motor and metallic parts not
intended as conductors of all transformers
and any other apparatus used for regulating
or controlling electricity and all electricity
consuming apparatus at voltage exceeding
650V but not exceeding 33kV been earthed
by two separate and distinct connections
with earth ?
(ii) Is the earth wire free from any mechanical Yes/No
damage ?
(iii) Has the neutral point at the transformer and Yes/No
generator been earthed by two separate and
distinct connections with earth?
(iv) Have the metal casings or metallic Yes/No
coverings containing or protecting any
electric supply line or apparatus been
properly earthed and so joined and
connected across all junction boxes as to
make good mechanical and electrical
connections throughout their whole length?
(v) Whether earthing has been properly
executed and has been tested. If yes, give Yes/No
value of earth resistance. ------Ohms
22. Regulation- Is the outdoor (except pole type) sub-station Yes/No
49 efficiently protected by fencing not less than
1.8 metres in height?
23 Regulation- (i) Where platform type construction is used for Yes/No
50 pole type sub-station, has sufficient space
for a man to stand on the platform been
provided?
(ii) Has hand-rail been provided and connected Yes/No
with earth (if metallic and if sub-station has
not been erected on wooden supports and
wooden plateform)?
24. Regulation- Has suitable provision been made for immediate Yes/No
51 and automatic or manual discharge of every
static condenser on disconnection of supply ?
25 Overhead
Lines (i) What is the minimum size of the conductors Size of
of overhead lines used ? State the type of Conductor ---
conductors.
(ii) Whether clearances above ground of the Yes/No
lowest conductor of overhead lines are as
per regulation 58?
(iii) On the basis of maximum sag, Whether Yes/No
vertical clearances where the line of voltage
exceeding 650V passes above or adjacent to
any building or part of a building are as per
regulation 61?
(iv) On the basis of maximum deflection due to Yes/No
wind pressure, whether horizontal
clearances between the nearest conductor
and any part of such building are as per
regulation 61?
(v) Where conductors forming parts of system at Yes/No
different voltages are erected on the same
supports, whether adequate provision has
been made as per regulation 62 to guard
against danger to linemen and others from
the lower voltage system being charged
above its normal working voltage by
leakage from or contact with the higher
voltage system ?
(vi) Where overhead lines cross or are in Yes/No
proximity to each other whether they have
been suitably protected to guard against
possibility of their coming in contact with
each other as per regulation 69?
(vii) Has every guard wire been properly Yes/No
earthed as per regulation 70 at each point at
which its electrical continuity is broken?
(viii)(a) Whether metal supports of overhead
lines and metallic fittings attached thereto Yes/No
are permanently earthed as per regulation
72?
 (b) Has each stay-wire (except in case where Yes/No
an insulator has been placed in it at a height
not less than 3 meters from the ground)
been earthed as per regulation 72?
(ix)(a) Whether overhead line is suitably
protected with a device for rendering the Yes/No
line electrically harmless in case it breaks
as per regulation 73?
(b) Whether anti-climbing devices have
been provided at each support as per Yes/No
regulation 73?
(x) (a) Has the owner of overhead lines adopted
efficient means for diverting to earth any Yes/No
electrical surges due to lightning in every
overhead line which is so exposed as to be
liable to injury from lightning as per
regulation 74?
(b) Whether earth lead from the lightning
arrestors is connected to a separate earth Yes/No
electrode as per regulation 74?
(xi) Whether unused overhead lines are
maintained in a safe mechanical condition Yes/No
as per regulation 75?
(xii) Whether statutory clearances from
Authorities i.e. Forest Yes/No
Department/Railways/ PTCC/Defence
(AHQ)/Civil Aviation have been taken as
per Indian standard. If yes, enclose copies
of the same.
(xii) Any other remarks.

Date: Signature of the Inspecting Officer/

Self-certifying supplier or owner

Name ______________________
Designation _________________
File No. ____________________

Copy forwarded to Electrical Inspector/Chief Electrical Inspector for …………………………