Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Date Tested

  • Personnel

  • Date Tested

Community Center Emergency Light and (2)Exit Signs

  • NORMAL FUNCTION ( Non Emergency )

  • Light Pack Ready Light Lit(Garage )

  • Main Stairway Door Exit Sign Lit

  • Emergency Door Exit Sign Lit

  • Date Tested

  • COMMENTS

  • A functional test is required for every battery powered emergency lighting system at a 30 day intervals for a minimum of 30 seconds. Equipment shall be fully operational for duration of the test.

  • Turn off breaker that feeds the emergency light system. See information on emergency light system.

  • Light Pack Emergency Lights Lit

  • Main Door Exit Sign Lit

  • Emergency Door Exit Sign Lit

  • Date Tested

  • Comments

  • Turn on breaker that feeds the emergency light system. See information on emergency light system.

Garage Emergency Light System

  • NORMAL FUNCTION ( Non Emergency )

  • Garage Light Pack Ready Light Lit

  • Garage Main Stairway Exit Sign Lit

  • Garage Rear Door Exit Sign Lit

  • Garage Side Door Exit Sign Lit

  • Main Stairway Exit Sign Lit

  • Emergency Stairway Light Pack Ready Light Lit

  • Emergency Stairway Exit Sign Lit

  • Date Tested

  • COMMENTS

  • A functional test is required for every battery powered emergency lighting system at a 30 day intervals for a minimum of 30 seconds. Equipment shall be fully operational for duration of the test.

  • Turn off breaker that feeds the emergency light system. See information on emergency light system.

  • Garage Light Pack Emergency Light Lit

  • Garage Main Stairway Exit Sign Lit

  • Garage Rear Door Exit Sign Lit

  • Garage Side Door Exit Sign Lit

  • Main Stairway Exit Sign Lit

  • Emergency Stairway Light Pack Emergency Light Lit

  • Emergency Stairway Exit Sign Lit

  • Main Stairway Remote Light

  • Main Door Outside Remote Light

  • Date Tested

  • Comments

  • Turn on breaker that feeds the emergency light system. See information on emergency light system.

Second Floor Emergency Light System

  • NORMAL FUNCTION ( Non Emergency )

  • Crew Room Light Pack Ready Light Lit

  • Crew Room Main Stairway Exit Sign Lit

  • Emergency Stairway Light Pack Ready Light Lit

  • Hallway Emergency Stairway Exit Sign Lit

  • Date Tested

  • COMMENTS

  • A functional test is required for every battery powered emergency lighting system at a 30 day intervals for a minimum of 30 seconds. Equipment shall be fully operational for duration of the test.

  • Turn off breaker that feeds the emergency light system. See information on emergency light system.

  • Crew Room Light Pack Emergency Light Lit

  • Crew Room Main Stairway Exit Sign Lit

  • Emergency Stairway Light Pack Emergency Light Lit

  • Hallway Emergency Stairway Exit Sign Lit

  • Main Stairway Remote Light

  • Secondary Remote Light

  • Date Tested

  • Comments

  • Turn on breaker that feeds the emergency light system. See information on emergency light system.

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.