Title Page
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Document No.
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Job Title
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Client / Site
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Client reference
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Pfm reference
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Conducted on
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Prepared by
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Personnel
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Client/Site
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Client Reference
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PFM Reference
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Emergency lighting report sheet
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Inspection type
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Visual check
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Flick test
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Duration test
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Duration of test
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Flick test
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30 minutes
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60 minutes
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3 hours
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Test function installed
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Failed devices and locations
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Further actions / recommendations
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Media
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Time started
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Time finished
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Travel time to site
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Works completed
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Engineer signature
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Acceptance of works by client
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Client signature
