BUSINESS INFORMATION

  • Which outlet is being assessed?

  • Location
  • DAILY LIGHTING HOURS

  • NUMBER OF DAYS OPEN PER WEEK

  • CEILING HEIGHT

  • Conducted on

ADMINISTRATION BLOCK

  • RECEPTION AND OFFICE AREAS

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

STAFF AREAS

  • STAFF AREAS

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

FACTORY FLOOR BLOCK 1

  • FACTORY FLOOR BLOCK 1

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

FACTORY FLOOR BLOCK 2

  • FACTORY FLOOR BLOCK 2

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

FACTORY FLOOR BLOCK 3

  • FACTORY FLOOR BLOCK 3

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

WAREHOUSE BLOCK 1

  • WAREHOUSE BLOCK 1

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

WAREHOUSE BLOCK 2

  • WAREHOUSE BLOCK 2

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

ASSEMBLY AND STOCK SECTION

  • ASSEMBLY AND STOCK SECTION

  • Please indicate which area was surveyed by clicking on the Paper clip icon and adding a "Note" to this section.

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

GENERAL AREAS

  • GENERAL AREAS

  • Please indicate which area was surveyed by clicking on the Paper clip icon and adding a "Note" to this section.

  • 2 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 4 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • 5 FOOT

  • Amount of tubes?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • MR16 Down lights

  • Amount of MR16's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • GU10 Down lights

  • Amount of GU10's?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

  • Candle Lights

  • Amount of Candle Lights?

  • Watts

  • Fixture type

  • Fitting Condition

  • Fittings to be replaced

Signoff

  • Audit Conducted By:

  • Auditor

  • Company Representative:

  • On behalf of the company

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