Matt Adams

Emergency Lighting Commissioning Form & Schedule

For Intsallations of Up to 25 Fittings

Use this Template

Print as PDF

Use this Template

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Title Page

Client
Site Address
Post Code
Description of Works Carried Out

Fitting No.
Floor Level
- Basement
- Lower Ground
- Ground
- Upper Ground
- First Floor
- Second Floor
- Third Floor
- Fourth Floor
- Roof Void
- External
Location Description
Manufacturuer
Model Code
Batch No. (Only Applicable for Orbik)
Fitting Type
Operation Confirmed
Location of Test Key Switches
All Test Key Switches are Operational
All charge Indicator Lights Are Illuminated and Clearly Visible
Log Book is Present and Has Been Updated
Is Site Staffed
Name of Staff Member Trained In Operation of Em. Lights
Name of Commissioning Engineer
Date of Commission
Engineer Signature

Matt Adams

Emergency Lighting Commissioning Form & Schedule

For Intsallations of Up to 25 Fittings

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.