Title Page
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Conducted on
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Prepared by
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Address of Emergency lighting
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Emergency light
emergency light
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Location of emergency light
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Emergency light's identification number?
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Emergency light brand/ model and Lamp type?
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Emergency light battery type?
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Which distribution board supplies this emergency light?
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Which phase supplies the emergency lights mains power?
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What is the emergency lights circuit ID at the switchboard?
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Does the emergency light have Mains power available?
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Is the emergency light correctly labelled?
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Does the emergency light operate on battery backup for 90 minutes when mains power is disconnected?
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Does the emergency light require replacing?
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Did the emergency light pass its test requirements?<br><br>
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Additional Comments or recommendations
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Signature of tester
