Joshua Seymour

Emergency Exit Sign Annual 90 Minute Battery Test

Fulfills Requirements of NFPA 101 31-1.3.7

Use this Template

Print as PDF

Use this Template

Title Page

Conducted on
Prepared by

Select date
All exit lights and operating room emergency overhead lighting activated to battery power for 90 minutes.

Exit Light Locations

Lobby (Front Door)
Lobby (Back Door)
Patient Exit
Employee Exit/Time Clock
PACU Bay 2-3 (by linen cart)<br><br>
PACU Bay 3-4
PACU Bay 5-6
PACU Nourishment Station<br>
Sterile Supply
Non-Sterile Supply Room
OR Door/Dictation Desks
OR Communication Board
Scrub Station- between OR 1 & OR 5
Pre-Op/PACU Corridor By Fluid Warmer
Biohazard Room/Female Locker Room
OR Room #1
OR Room #2
OR Room # 3
OR Room #4
OR Room # 5
Staff Lounge
Equipment Room/OR Back Exit
Upstairs Office # 1
Upstairs Office # 2
undefined
Add signature

Joshua Seymour

Emergency Exit Sign Annual 90 Minute Battery Test

Fulfills Requirements of NFPA 101 31-1.3.7

Use this Template

Print as PDF

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.