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New Connection BL Form

1. This document contains details of an electrical work completion certificate and test results for a consumer. 2. It includes information such as the consumer's name and address, load details, test results, and signatures of the licensed electrical contractor and licensee's representative verifying that the work was completed according to regulations. 3. Upon passing inspection, the directorate of electrical safety would issue a certificate.

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3K views2 pages

New Connection BL Form

1. This document contains details of an electrical work completion certificate and test results for a consumer. 2. It includes information such as the consumer's name and address, load details, test results, and signatures of the licensed electrical contractor and licensee's representative verifying that the work was completed according to regulations. 3. Upon passing inspection, the directorate of electrical safety would issue a certificate.

Uploaded by

as s
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Work Completion Certificate and Test Result

(To be filled by Licensed Electrical Contractor)

1. Name of Consumer:…………………………………………………..
2. Father/ husband’s Name:……………………………………………..
3. Address:……………………………………………………………….
…………………………………………………………………………
4. Voltage & System of Supply: ………….Volt………………… Phase……………….
5. Details of Load:
Description 220\230 V 400/440 V HT/EHT

Phase 1 Phase 2 Phase3 No. Total No. Total


Load Load
No. Total No. Total NO. Total Watt
Watt Watt
1. Light Points
2. Fan Points
3. Plug Points
4. Motors
5.Other
Equipments
TOTAL

6. Total Connected Load in KW:


7. Total Current in Amp:
8. Results of Resistance Test by L.E.C.
Description Phase 1 Phase 2 Phase 3
Between Phase & Earth
Between Neutral & Earth
Between Phases

Verification Certificate by Licensed Contractor

I / We........................................Licensed Electrical Contractor, License No.............., having


verified the following, certify that:
1. The above mentioned installation work has been by me.
2. The Resistance Test of the above installation has been done by me/ my supervisor.
3. The installation work has been done as per provisions of The Indian Electricity
Rules 1956 and I.S.I.
4. The above work has been done the following staff:

Name of Wireman………………. Permit No…………. Date of validity…...


Signature
Name of Supervisior…………….. Certificate No…….. Date of validity…...
Signature

Name of Apprentice……………..
Signature
Name of the firm of the Electrical Contractor: License No Class........................
Date of validity…..
Signature

  1
Declaration by the consumer

I certify that I have complied with all the provisions of the Indian Electricity Rules 1956 and
the Supply Code of the Licensee. Capacity of Main Fuse is not more than ................Amp.
Any change in installation shall be done after approval of the Licensee.

Date...................... Name & signature of consumer

Test Report by the Licensee’s Representative

Result of Resistance Test:


Between Phase 1 & Earth……. Between Phase 2 & Earth…. Between Phase 3 & Earth…
Between Phase 1 & 2………... Between Phase 2 & 3……… Between Phase 3 & 1……..
Shortcomings found in Installation, if any, and action taken to remove it:
1. ..........................................
2. ..........................................
3. ..........................................

Date: ………………… Signature, name and designation of inspector of Licensee

Certificate of the Directorate of Electrical Safety

Results of Inspection:
(Enclose details)
Date of Inspection...................... Signature, name and designation of Inspecting Officer

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