Title Page

  • Client

  • Address
  • Conducted on (Date and Time)

  • Inspected by

Inspection Checklist

  • Inspection? Click "Add"

  • Unit
  • Device

  • Device Location

  • Unit Reference Number

  • Type of test

  • Are all luminaires and other emergency lighting equipment in good working condition?

  • Are all lamps and fitting diffusers clean and undamaged?

  • Are all fittings work correctly?

  • Are all system healthy indicators on central battery systems illuminated?

  • Load Test

Completion

  • Recommendations

  • Maintenance Inspector (Full Name and Signature)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.