Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Utilities

  • Cost of electric per kWh

  • Last month bill

  • Last year bill

Rooms and fittings

  • Room Name

  • General photo of room

  • Light fitting
  • Fitting type

  • Photo of fitting

  • Wattage

  • Number of fittings

  • EM fittings

  • Number of EM fittings

  • Hours per day usage

  • Days per week

  • Height of fitting from floor

  • Existing controls

  • Lux level

  • Notes

  • Drawing

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.