EMERGENCY EXIT ROUTE INSPECTION CHECKLIST

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--- GENERAL INFORMATION ---
[ ] Inspection Date
[ ] Inspection Time
[ ] Building/Facility Name
[ ] Exit Route/Area Inspected (Main Entrance - North, West Wing - 2nd Floor, Loading Dock - East, Other (Specify))
[ ] Area Inspected (if Other)
[ ] Weather Conditions (Clear, Rain, Snow, Fog, Other)
[ ] Other Weather Condition (If Applicable)
[ ] Ambient Temperature (Â°C)

--- EXIT ROUTE IDENTIFICATION & SIGNAGE ---
[ ] Exit Route Identification Number/Label
[ ] Signage Condition - Overall (Excellent, Good, Fair, Poor, Needs Repair/Replacement)
[ ] Signage Visibility (Daylight) (Excellent - Easily Visible, Good - Mostly Visible, Fair - Partially Obstructed, Poor - Difficult to See)
[ ] Signage Visibility (Low Light/Emergency Lighting) (Excellent, Good, Fair, Poor)
[ ] Sign Type Presence (Exit Signs, Directional Signs, Emergency Route Maps, Other (Specify in Long Text))
[ ] Describe any missing or damaged signage.
[ ] Number of Exit Signs present

--- CLEARANCE & OBSTRUCTIONS ---
[ ] Are exit routes clear of obstructions? (Yes, Completely Clear, Minor Obstructions Present (e.g., boxes, minor furniture), Significant Obstructions Present (Blocking Exit), Not Applicable)
[ ] Describe any obstructions found (if applicable)
[ ] Width of the exit route (feet/meters - specify unit in notes)
[ ] Specify the type of obstructions found (e.g., furniture, stored materials, equipment)
[ ] Are fire extinguishers readily accessible along the exit route? (Yes, No, Not Applicable)
[ ] Details regarding any discrepancies found in extinguisher placement.

--- LIGHTING ---
[ ] Lux Level Reading (Foot-Candles)
[ ] Emergency Lighting Status (Functional, Malfunctioning, Not Present)
[ ] Battery Backup Functionality (If Applicable) (Tested & Working, Not Tested, Malfunctioning)
[ ] Notes on Lighting Condition (e.g., dimness, flickering)
[ ] Reflector Condition (Good, Dirty/Dusty, Damaged)

--- EXIT DOORS & HARDWARE ---
[ ] Door Opens Freely? (Yes, No, N/A)
[ ] Door Swing Direction Correct? (Yes, No, N/A)
[ ] Door Opening Time (seconds)
[ ] Hardware Condition (Good, Fair, Poor)
[ ] Detailed Hardware Observations
[ ] Door Frame Integrity (Intact, Minor Damage, Significant Damage, N/A)
[ ] Door Hardware Photos (if applicable)

--- EMERGENCY EXIT DEVICES (PANIC BARS) ---
[ ] Panic Bar Functionality (Fully Functional, Partially Functional (requires repair), Non-Functional (requires immediate repair))
[ ] Panic Bar Alignment (Properly Aligned, Misaligned (requires adjustment))
[ ] Panic Bar Plate Secureness (Securely Mounted, Loose/Moving (requires tightening))
[ ] Number of Panic Bars Inspected
[ ] Additional Notes (Panic Bars)
[ ] Photo Documentation (if issues)

--- FIRE ALARM SYSTEM INTEGRATION ---
[ ] Is the Exit Route illuminated when the Fire Alarm is triggered? (Yes, No, Not Applicable)
[ ] Does the Fire Alarm System provide audible and visual alerts along the exit route? (Yes, No, Not Applicable)
[ ] Number of Fire Alarm Annunciation Points along the Exit Route
[ ] Describe any observed issues or discrepancies with Fire Alarm System Integration
[ ] Is the Emergency Voice Communication System (EVCS) functional along the exit route (if applicable)? (Yes, No, Not Applicable)
[ ] Date of Last Fire Alarm System Test Relevant to Exit Route

--- ACCESSIBILITY CONSIDERATIONS ---
[ ] Are accessible exit routes clearly marked with tactile signage? (Yes, No, Not Applicable)
[ ] Distance (in feet) between accessible exits?
[ ] Are ramps slopes compliant with accessibility standards (e.g., ADA)? (Yes, No, Not Applicable)
[ ] Describe any observed issues or deviations from accessibility guidelines.
[ ] Are accessible exits free of obstructions that would impede passage? (Yes, No, Not Applicable)
[ ] Width of accessible pathway (in inches).

--- DOCUMENTATION & TRAINING ---
[ ] Last Emergency Exit Route Training Date
[ ] Number of Employees Trained (Last Training)
[ ] Brief Description of Training Content
[ ] Copy of Training Records (if available)
[ ] Training Records Location (Online Database, Physical File Cabinet, Other)
[ ] If 'Other' selected above, please specify:
[ ] Are Exit Route Maps Posted? (Yes, No, Not Applicable)
[ ] Comments/Notes on Documentation & Training Adequacy

--- CORRECTIVE ACTIONS & FOLLOW-UP ---
[ ] Description of Corrective Action Required
[ ] Priority Level (1-High, 5-Low)
[ ] Target Completion Date
[ ] Assigned to (Department/Individual) (Facility Management, Maintenance Team, Electrical Team, Contractor)
[ ] Date Corrective Action Completed
[ ] Status of Corrective Action (Open, In Progress, Completed, On Hold)
[ ] Comments/Notes on Completion
[ ] Documentation of Corrective Action (e.g., Photos, Invoices)
[ ] Signature of Person Completing Corrective Action

--- END OF TEMPLATE ---
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