Information
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Document No.
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Job No:
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Client:
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Conducted on
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Prepared By
- Tim Payne
- Shane Benjamin
- Gary Searl
- Steve Wilson
- Luke Brennan
- Nicolas Krelle
Test Type
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Identify Test
Checklist
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Emergency Light / Sign
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UNIT ID, BUILDING LEVEL & LOCATION:
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Lamp Type, Diffuser Type & Battery Type:
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Type:
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90 min Test
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Comments:
- Battery Replaced
- Lamp Replaced
- Starter Replaced
- Diffuser Replaced
- Control Board Replaced
- Unit Repaired
- No Power
Sign Off:
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Site Contact Name & Signature:
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Technician Name & Signature: