Site Evaluation

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Lamp Operation

• All on

  Yes

  No

  N/A

Remote control

• Operational

  Yes

  No

  N/A

Vertical Alignment

• Measured value

  Yes

  No

  N/A

Horizontal Alignment

• Measured Value

  Yes

  No

  N/A

Flash Rate

• Measured Value

  Yes

  No

  N/A

TPRs

• List discrepancies

  Yes

  No

  N/A

Modifications

• List discrepancies

  Yes

  No

  N/A

Ground, Paint

• List Discrepancies

  Yes

  No

  N/A