Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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1. Effective Lumens per Lamp
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[Illumination Level (Footcandles) ✖️ Area (sq ft)] ➗ Total Lamps = __________ Effective Lumens / Lamp
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2. Initial Lamp Lumens
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Effective Lumens / Lamp ➗ [Utilization Factor ✖️ Lumen Maintenance Factor] = __________ Initial Lumens / Lamp
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3. Lamp Data
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Lamp Type:
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Wattage: