Quarterly Emergency Lighting Audit

• Document No.

• Quarterly Emergency Lighting Audit

• Client / Site

• Conducted on

  Date

• Prepared by

Roof

• Lv 20. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

Plant Room

• Lv 19. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

High Rise

• Lv 18. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 17. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 16. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 15. Are all Emergency Lights Operational in base building areas, inclusive of balcony areas

  Yes

  No

  N/A

• Lv 14. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 13. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 12. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 11. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 10. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 9. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

Plant Room

• Lv 8. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

Low Rise

• Lv 7. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 6. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 5. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 3. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 2. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Lv 1. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Ground Floor. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

Basement Car Park Areas

• LG. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• B1. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• B2. Are all Emergency Lights Operational in base building areas

  Yes

  No

  N/A

• Select date

  Date

• Full Name & Signature

  Sign