Title Page

  • Site conducted
  • Conducted on

  • Prepared by

Details Of Inspection

  • Month

  • Company

  • Work Order

  • Site Name

  • Site Address
  • Type of System

  • System Standard

  • Test Frequency

  • Check List

  • Location
  • Light Location

  • Emergency Lights & Exit Lights
  • Type or fitting

  • Quantity of Fitting
  • Quantity of fitting

Test Duration

  • Time taken for test.

  • Number of E/Lights in building

  • Start time of test

  • Number of E/Lights in observed.

  • Finish time of test

  • List of defects and remedial actions required
  • Specification

  • Technician

  • Date

  • Certification

  • Defects
  • Defection?

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.