Emergency Exit Lights NSW Monthly Check (PMC-OPS-A.8-21)

• Conducted on

  Date

• MRI Site

  MRI - NSW

• Conducted On

  Date

• Conducted By

EMERGENCY EXIT LIGHTS

• If you have Answered NO to any of the questions, give details and ENSURE you REPORT any Faults to either the SHEQ Representative or the Operations Manager for immediate action.

• OR if the issue is a SAFETY RISK create a HICAR and upload the completed report to the HICAR.

• NSW Site Layout

  

• Exit Light 1 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 2 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 3 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 4 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 5 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 6 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 7 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 8 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

• Exit Light 9 - Is the exit light switched on, clear and in good working order?

  Yes

  No

  N/A

NOTES / COMMENTS

• ADD Notes / Comments / Any relevant Information

• PLEASE Sign your name and enter the time you completed the Audit.

• Audit Conducted By

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• Completion Date

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