Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site

  • What is the main purpose of this site?

  • Site purpose additional information

  • What is the lighting requirement for this site?

  • Lighting requirement additional information

  • Access requirements

  • Access requirement additional information

  • Photos of site

Existing lighting

  • Is the existing lighting sufficient?<br>

  • On average, how many light fittings and/or lamps are repaired or replaced each month?

  • Photo of existing light/s

Existing lighting specs

Light fitting no.1

  • Fitting Quantity

  • Fitting type

  • Enter make, model serial no etc:

  • Enter fitting dimensions, down light cut-out diameter etc:

  • Lamp type

  • Enter make, type, colour etc

  • Control gear type

  • Enter make, model, other specifics like capacitors etc

  • Photo of fitting, lamp and control gear

Light fitting No. 2

  • Fitting Quantity

  • Fitting type

  • Enter make, model serial no etc:

  • Enter fitting dimensions, down light cut-out diameter etc:

  • Lamp type

  • Enter make, type, colour etc

  • Control gear type

  • Enter make, model, other specifics like capacitors etc

  • Photo of fitting, lamp and control gear

Recommendations

Energy Efficiency

  • Comment on potential energy efficient lighting options and installation methods

Maintenance costs

  • Comment on options that may provide a reduction in maintenance costs ie. longer life lamps, more accessible fittings, fewer fittings etc

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.