FORM I


INSTALLATIONS OF VOLTAGE UP TO AND INCLUDING 250V

Report No: .............................. Date of Inspection by Electrical Inspector or self certification by owner: ................
Date of Last Inspection or self certification: ......................................................................................................

1. Consumer Name: ......................................................................................................
2. Voltage and system of supply:
(i) Volts.........................................................................................
(ii) No. of Phases ......................................................................
(iii) AC/ DC ........................................................................
3. Type of writing ........................................................................
4. Name of the consumer or owner ........................................................................
5. Address of the consumer or owner ........................................................................
6. Location of the premises ........................................................................
7. Particulars of the installations:
Number Connected load in KW
(a) (i) Lighting points ................................. .................................
(ii) Fan Points ................................. .................................
(iii) Plug Points ................................. .................................
State type of wiring whether casing capping, lead covered of teak wood batten, concealed conduit, Tough Rubber Sheathed and any other type.
(b) Other equipments (complete details to be furnished):
(i) ..................................................................
(ii) ..................................................................
Total Connected Load in KW ....................................................
Maximum current demanded in Amps ....................................................
(On the basis of Total connected load)
(c) Generator Details i.e. Make, Sl.No., KVA rating and Voltage
(i) ..................................................................
(ii) ..................................................................

General conditons of the installations:

Sl No. Regulations Nos Requirements Report
8 Regulation 12 (i) Is/ Are there any visible sign(s) of overloading in respect of any apparatus wiring? Yes/ No
(ii) Condition of flexible cords, sockets, switches, plug-pins, cut-outs and lamp holders and such other fittings. Satisfactory/ Not Satisfactory
(iii) General conditions of Wiring. Satisfactory/ Not Satisfactory
(iv) Whether any unauthorized installation exists? Yes/ No
(V) State of sockets are controlled by the individual switches Yes/ No
(vi) Any other defect or condition which may be a source of danger. If yes, give details Yes/ No
9 Regulation 13 Give report on the condition of the service lines, cables wires, apparatus and such other fittings placed by the supplier or owner of the premise. If not satisfactory, give details Satisfactory/ Not satisfactory
10 Regulation 14 Whether suitable cut-outs provided by the supplier at the consumer's premises are within enclosed fire proof receptacle? Yes/ No
11 Regulation 15 (i) State if switches are provided on live conductors Yes/ No
(ii) State if indication of a permanent nature is provided as per Regulation so as to distinguish neutral conductor from the live conductor Yes/ No
(iii) Whether a direct line is provided on the neutral in the case of single phase double pole iron clad switches instead of fuse? Yes/ No
12 Regulation 16 (i) State if earthed terminal is provided by the supplier Yes/ No
(ii) Have three pin plugs been provided for the plug points? Yes/ No
(iii) General visible conditions of the earthing arrangement. Satisfactory/ Not satisfactory
13 Regulation 17 Are the live parts in accessible position? Yes/ No
14 Regulation 34 Leakage on Premises:
State insulation resistance between conductors and earth in Mega ohms
.... .M Ohms
15 Regulation 35 (i) State if linked switches of requisite capacity are provided near the point of commencement of supply Yes/ No
(ii) State if the wiring is divided in suitable number of circuits and each such circuit is protected by suitable cut-out. Yes/ No
(iii) State if supply to each motor or apparatus is controlled by suitable linked switch Yes/ No
16 Regulation 41 (i) Have the frame of every generator, stationary motor and so far as practicable portable motor and the metallic parts (not intended as conductors) of all other apparatus used for regulating* or controlling electricity been earthed by two separate and distinct connections with earth? Yes/ No
(ii) Is the earth wire free from mechanical damage? Yes/ No
(iii) In the case of conduit, or lead covered wiring, has the conduit or lead cover been efficiently earthed? Yes/ No
(iv) If the consumer has his own earth electrode, state if it is properly executed and has been tested. If yes, give value of earth resistance. ..... .M Ohms
17 Overhead lines (i) State if the consumer has any overhead lines. Yes/ No
(ii) Does the overhead line near the premises of consumer meets the requirement of regulations 58, 60 and 61? If not, give details. Yes/ No
(iii) Is guarding provided for the overhead lines at road crossings? Yes/ No
(iv) Any other remarks

Date: .............................. Signature of the Inspection officer/ Self Certifying supplier or owner
Name: .....................
Designation: ..............
File No: .....................
Copy forwarded to the Deputy Chief Electrical Inspector, Hyderabad/ Hyderabad(Rural)/ Electrical Inspector, Hyderabad/ Nizamabad for .........................................
* Note applicable to isolated wall tubes or to brackets, electroliers, switches, ceiling fans and such other fittings (other than portable head lamps and transportable apparatus) unless provided with earth terminal.


Registrations Pending for Approval

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