Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Client

Building

  • Site name:

  • Building name / number:

  • Approximate age of building:

  • Number of exit doors:

  • Evacuation diagram:

Emergency lighting

  • Are there any emergency lights within the building?

  • Is there any obvious reason why?

  • Does the coverage seem adequate?

Exit lighting

  • Are there exit lights within the building?

  • Is there any obvious reason why?

  • Does each exit door have an exit light?

  • Is there any obvious reason why?

  • Are paths of egress clearly signed?

Switchboard

  • Is there a dedicated emergency lighting circuit?

  • What is required to run a dedicated emergency lighting circuit?

  • Are emergency lighting circuit/s protected by a RCBO?

  • Is there an EEL test switch?

  • What is required to install a EEL test switch?

  • Is there an emergency lighting log book at switchboard?

  • Are there any emergency lighting log books onsite?

Audit Findings

  • Does this building require emergency and exit lighting upgrades?

  • How many technicians are required to complete the upgrade?

  • Does the upgrade require the use of high reach access equipment?

  • What is the height of access required?

  • Provide a detailed recommendation

Sign Off

  • Date of maintenance works:

  • Works completed by:

  • Technician signiture:

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.