Gareth Stephens

LED Survey LCS Energy

For collecting information on a site for a lighting refit

Use this Template

Print as PDF

Use this Template

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Title Page

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Room name
Fitting type
Number of fittings
Hours per day
Days per week
Photo of fittings
Height of room
Combined Emergency's
If yes how many
Does the client want PIRs as an additional cost saving on the running costs

Plant

Skip required
Tower Scaffold required
Star 10 required
Cherry picker required
Off loading facility on site
Any out of hours working
If yes how many fittings
Agreed storage location
Any project specific information

Gareth Stephens

LED Survey LCS Energy

For collecting information on a site for a lighting refit

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.