Gareth Stephens

LED lighting

Site form for information collection

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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
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

Gareth Stephens

LED lighting

Site form for information collection

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.