Title Page

  • Document No

  • Customer

  • Site address
  • Inspection Date

  • Test Type

  • Lamp Duration

Inspection

  • Did all emergency lights pass the duration test

  • Record failure

  • Is there adequate lighting in all areas required

  • List reason and recommendations

Signature

  • Engineer Signature

  • Customer 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.