EMERGENCY LIGHTING & EXIT SIGNAGE CHECKLIST

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--- GENERAL INFORMATION ---
[ ] Building/Facility Name
[ ] Inspection Date
[ ] Inspection Start Time
[ ] Ambient Temperature (Â°C)
[ ] Inspection Type (Routine, Post-Incident, Annual)
[ ] Inspector Name
[ ] Inspector Title/Department
[ ] Any Relevant Notes (e.g., recent power outages, unusual circumstances)

--- EMERGENCY LIGHTING - FUNCTIONAL TESTING ---
[ ] Date of Functional Test
[ ] Time of Functional Test Start
[ ] Test Procedure Followed? (Standard Operating Procedure (SOP), Modified Procedure)
[ ] Duration of Power Failure (minutes)
[ ] Emergency Lights Functioning Correctly? (Yes, No, N/A)
[ ] Details of any Failures Observed (if applicable)
[ ] Number of Emergency Lights Tested
[ ] Number of Emergency Lights Failing
[ ] Automatic Transfer Switch (ATS) Operated Successfully? (Yes, No, N/A)

--- EMERGENCY LIGHTING - PHYSICAL CONDITION ---
[ ] Fixture Identification Number (e.g., EL-001)
[ ] Housing Condition - Visible Damage? (None, Minor (Cosmetic), Moderate (Requires Attention), Significant (Requires Repair/Replacement))
[ ] Mounting Secure? (Yes, No, Unsure)
[ ] Detailed Observations (e.g., cracks, corrosion, loose screws)
[ ] Lens Condition (Clear, Cloudy, Scratched, Damaged)
[ ] Lamp Lumens (if legible â€“ for comparison against specs)
[ ] Precise Location of Fixture

--- EXIT SIGNAGE - VISIBILITY AND ILLUMINATION ---
[ ] Is the exit sign visible from a clear line of sight? (Yes, No, N/A)
[ ] Is the exit sign illuminated? (Yes, No, Dim/Flickering)
[ ] Distance to nearest obstruction blocking visibility (feet/meters)
[ ] Is the illumination intensity adequate? (Yes, No, Unsure)
[ ] Describe any issues with visibility or illumination.
[ ] Is the sign correctly oriented (pointing toward the exit)? (Yes, No, N/A)
[ ] Upload Photo of Exit Signage

--- EXIT SIGNAGE - PHYSICAL CONDITION & PLACEMENT ---
[ ] Exit Sign Location (Specific)
[ ] Sign Housing Condition (Excellent, Good, Fair, Poor - Requires Repair/Replacement)
[ ] Sign Face Condition (Clear & Legible, Slightly Faded, Significant Fading/Damage, Illegible - Requires Replacement)
[ ] Mounting Height (Feet)
[ ] Orientation (Correct, Incorrect - Requires Adjustment)
[ ] Notes/Comments (e.g., damage, obstruction)
[ ] Sign Retroreflectivity (Good, Fair, Poor - Requires Replacement)
[ ] Photo Documentation (if issues found)

--- BATTERY BACKUP SYSTEM (IF APPLICABLE) ---
[ ] Battery Voltage (Reading)
[ ] Battery Capacity (Remaining)
[ ] Battery Condition (Excellent, Good, Fair, Poor)
[ ] Last Battery Replacement Date
[ ] Notes on Battery System Performance/Condition
[ ] Battery Backup Test Result (Pass, Fail, Not Tested)
[ ] Battery Discharge Time (Minutes) - During Test

--- DOCUMENTATION & RECORD KEEPING ---
[ ] Date of Last Inspection
[ ] Inspection Frequency (e.g., Monthly, Quarterly)
[ ] Inspection Performed By (Select Role) (Facility Manager, Maintenance Technician, Security Personnel, Contractor)
[ ] Inspector's Name
[ ] Summary of Findings & Recommendations
[ ] Supporting Documentation (e.g., Test Reports, Maintenance Records)
[ ] Next Inspection Scheduled? (Yes, No)
[ ] Date of Next Scheduled Inspection

--- END OF TEMPLATE ---
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