Monthly Lighting Inspection - duplicate

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Yard Areas

• Are all lights working?

  Yes

  No

• Number of lights that need replacing/repairing?

• Is Lighting adequate?

  Yes

  No

Warehouse floor

• Are all lights working?

  Yes

  No

• Number of lights that need replacing/repairing?

• Is Lighting adequate?

  Yes

  No

Store rooms

• Are all lights working?

  Yes

  No

• Number of lights that need replacing/repairing?

• Is Lighting adequate?

  Yes

  No

Toilets

• Are all lights working?

  Yes

  No

• Number of lights that need replacing/repairing?

• Is Lighting adequate?

  Yes

  No

Canteen

• Are all lights working?

  Yes

  No

• Number of lights that need replacing/repairing?

• Is Lighting adequate?

  Yes

  No

Corridors

• Are all lights working?

  Yes

  No

• Number of lights that need replacing/repairing?

• Is Lighting adequate?

  Yes

  No

Office areas

• Are all lights working?

  Yes

  No

• Number of lights that need replacing/repairing?

• Is Lighting adequate?

  Yes

  No

Sign Off

• Signature

  Sign