Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Client/Contact Details

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Building Type

  • Is it a New or Existing Building?

  • Confirm type of Luminaire installed?

  • Number of Luminaires installed?

  • Confirm number of skylights?

  • Copy of Electricity Bill for the previous year?

  • Confirm Height of Luminaires position?

  • Describe the maintenance schedule of Lighting on-site?

  • Description of existing skylights?

  • Add media

  • Add drawing

Building Drawings

  • Is there a floor-plan available?

  • Copy of roof-plans?

  • Elevations or sections of the building?

  • Confirm roof dimensions?

  • Is a new skylight design required? type of roof light and percentage

  • Are emergency lights required?

  • Room 1 - room name, hours occupancy, operations hrs, height, existing lux level, illumination level?

  • Room 2 - room name, hours occupancy, operations hrs, height, existing lux level, illumination level?

  • Room 3 - room name, hours occupancy, operations hrs, height, existing lux level, illumination level?

  • Room 4 - room name, hours occupancy, operations hrs, height, existing lux level, illumination level?

  • Note.
    To reduce delay of the design, please mark up the drawing with matching room names from the table above.
    If the design is a like for like replacement of existing lighting, please mark on the drawing the position of existing lights.
    Please specify if you require Recessed luminaires in office areas
    All Drawings and dimensions to be in metres
    A colour temperature default of 4000K (White) shall be used as default for all luminaires unless specified Warm white (3000K) or Cold white(5000K). On the Kite luminaires the choice is limited to 4000K or 5000K.

  • Add media

  • Add signature

  • Select date

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.