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Address:
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EMERGENCY LIGHTING
PERIODIC INSPECTION AND TESTING CERTIFICATE
BS 5266-1:2016 / BS EN 50172:2004
EMERGENCY LIGHTING PERIODIC
INSPECTION AND TESTING CERTIFICATE
INSPECTION AND TESTING CERTIFICATE
⚠️ INCOMPLETE CERTIFICATE
Missing required fields will result in an incomplete PDF document. Please complete all required information for a professional certificate.
Missing: Certificate Number, Client Name, Installation Details, Inspector Information, Contractor Details, System Configuration
SECTION 1: DETAILS OF THE CLIENT
SECTION 2: DETAILS OF THE EMERGENCY LIGHTING INSTALLATION
Certificate Number: [MISSING]
Installation Address:
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Extent of the emergency lighting installation covered by this certificate:
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SECTION 3: DETAILS OF DEVIATIONS FROM THE CURRENT STANDARDS
| Clause Ref. | Details of Deviation |
|---|---|
| No deviations recorded | |
SECTION 4: RELATED REFERENCE DOCUMENTS
Related reference documents and certificate numbers:
None specified
SECTION 5: NEXT INSPECTION
We RECOMMEND that this installation is further inspected and tested after an interval of not more than:
12 months
Interval in accordance with BS EN 50172 / BS 5266-8 and BS 5266-1.
SECTION 6: CERTIFICATION OF THE INSPECTION AND TESTING
I/we hereby certify that the emergency lighting system installation at the above premises has been inspected and tested by me/us in accordance with the results of the items inspected and tested (details overleaf), and to the best of my/our knowledge and belief, the results and recommendations made are in accordance with the requirements of BS 5266-1, BS EN 1838 and BS EN 50172 / BS 5266-8, except for the deviations recorded in Section 3.
Name (Inspector):
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Signature:
No signature available
Date:
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Position:
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SECTION 7: DETAILS OF THE ELECTRICAL CONTRACTOR / COMPETENT PERSON RESPONSIBLE
Trading Title:
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Address:
[MISSING]
Postcode:
Not specified
Telephone:
[MISSING]
Registration No. (if applicable):
Not specified
SECTION 8: PURPOSE OF INSTALLED EMERGENCY LIGHTING SYSTEM
Emergency escape lighting
Standby lighting
Emergency safety lighting
Partial standby lighting
Open area (anti-panic) lighting
High risk task area lighting
SECTION 9: EMERGENCY LIGHTING INSTALLATION ARRANGEMENT
Self-contained emergency luminaire
Combined emergency luminaire
Central battery system
Standby generator system
SECTION 10: CATEGORIES OF OPERATION FOR EMERGENCY LIGHTING SYSTEM
| Type No. | Mode | Facilities | Duration (Hrs) |
|---|---|---|---|
| No categories specified | |||
SECTION 11: RESULTS OF INSPECTION AND TESTING
BS 5266-1:2016
SCHEDULE OF ITEMS INSPECTED AND TESTED (Observations and recommendations for any remedial work are recorded below or on separate sheets)
| Item / Clause Ref. | Requirement / Description | Outcome (✓, X, N/A) / Remarks |
|---|---|---|
| No inspection results recorded | ||