Unit 100, 10 Rockingham Street, London SE1 6PD Tel : 0207 407 2115 Fax : 0207 407 2132 Portable Appliance Testing Certificate Certificate Number : 1234 Test Date : Re-test Due By : Site Name Address Town Postcode I certify, on behalf of ems, that the portable electrical equipment tested, as stated within Report Number at the above premises was carried out in accordance with the Institute of Electrical Engineers Code of Practice for In-service Inspection and Testing of Electrical Equipment, and complies with the Health & Safety at Work Act 1974 , the Provision and Use of Work Equipment Regulations 1998 , the Management of Health & Safety at Work Regulations 1999 , and the Electricity at Work Act 1989 Signed Operations Manager