Title Page
-
Site conducted
-
Conducted on
-
Prepared by
Details Of Inspection
-
Month
- January
- February
- March
- April
- May
- June
- July
- August
- September
- October
- November
- December
-
Company
-
Work Order
-
Site Name
-
Site Address
-
Type of System
- self-contained emergency light fittings with mains supply
- centralized standalone battery power supply feeding dedicated circuits and light fittings.
- separate and Independant circuits
-
System Standard
- NZS 6742
- AS/NZS 2293
-
Test Frequency
- Fortnightly
- Monthly
- 6 Monthly
- Annually
- After Emergency Operation
-
Check List
- Battery Charger operates efficiently.
- Electrolyte level checked and SG recorded.
- Battery and terminals clean
- Operation of ALL lights checked.
Location
-
Light Location
Emergency Lights & Exit Lights
-
Type or fitting
- Emergency Light Battens
- Emergency Twinspot
- Surface Exit Lights
- Recessed Exit Lights
- Emergency Bulkheads
- Emergency Spitfire Recessed
- Emergency Spitfire Surface
Quantity of Fitting
-
Quantity of fitting
Test Duration
-
Time taken for test.
- 60 Mins
- 90 Mins
- 120 Mins
-
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?