Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Client
Building
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Site name:
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Building name / number:
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Approximate age of building:
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Number of exit doors:
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Evacuation diagram:
Emergency lighting
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Are there any emergency lights within the building?
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Is there any obvious reason why?
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Does the coverage seem adequate?
Exit lighting
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Are there exit lights within the building?
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Is there any obvious reason why?
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Does each exit door have an exit light?
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Is there any obvious reason why?
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Are paths of egress clearly signed?
Switchboard
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Is there a dedicated emergency lighting circuit?
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What is required to run a dedicated emergency lighting circuit?
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Are emergency lighting circuit/s protected by a RCBO?
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Is there an EEL test switch?
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What is required to install a EEL test switch?
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Is there an emergency lighting log book at switchboard?
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Are there any emergency lighting log books onsite?
Audit Findings
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Does this building require emergency and exit lighting upgrades?
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How many technicians are required to complete the upgrade?
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Does the upgrade require the use of high reach access equipment?
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What is the height of access required?
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Provide a detailed recommendation
Sign Off
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Date of maintenance works:
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Works completed by:
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Technician signiture: