Product specification: Block AIM 5.0/2.0 Autotransformer.
simulate this circuit – Schematic created using CircuitLab
Figure 1. An isolating transformer and a non-isolating auto-transformer.
At the moment I am trying to connect a Block AIM 5.0/2.5 Auto-transformer to a piece of very sensitive medical equipment.
That's going to have high safety specifications.
The auto-transformer was purchased to regulate and supply a constant 220 V (to avoid any fluctuations in the voltage as the medical equipment is very sensitive and recommended to run only at 220 V) to the equipment here in the UK.
The transformer will not "avoid fluctuations". Its output voltage will fluctuate exactly in proportion to the input voltage.
It is much more likely that the transformer has been recommended to reduce the UK 240 V supply to 220 V to suit the equipment. This is done by setting the 'tap' or tap-off point on the auto-transformer 220/240 = 11/12 of the way up from the bottom of the coil as oriented in Figure 1. That means that it is effectively on a European supply voltage and will tolerate normal fluctuations in supply.
Now, very recently the company that checks our equipment for electrical safety has labelled this auto-transformer as FAILED due to "No Earth".
This is, presumably, because the equipment to be powered requires an earth.
Please see the picture where there are only two input (L and N) wires and two output (L and N) wires connected. The ground (earth) wire of both input and output are left open. Now, what and how can I make this device electrically earthed (or have it pass the electrical safety test)?
The transformer doesn't require an earth because it is fully isolated. It's the load that requires an earth.
simulate this circuit
Figure 2. Standard industrial practice.
If this were an industrial application the solution of Figure 2 would be acceptable. Because it's a medical application you shouldn't be prepared to take that risk and run on uncertified equipment.
Your equipment test company should be able to advise or the medical equipment supplier.