Emergency Lighting Form

1

Office* This field is required.

Fire Durham

Fire Glasgow

Fire Leeds

Pointer Security

2

Customer Name* This field is required.

3

Customer Address

4

Contract Number

5

Date of Call* This field is required.

6

Call Reference Number

7

Call Type* This field is required.

Call Out

Service / Maintenance

8

Indicators of Central Power Supply inspected for correct operation

Yes

No

N/A

9

All luminaires and signs shall be checked to ensure that they are present, clean and functioning correctlySwitch on in the emergency mode each luminaire and each internally illuminated exit sign from its battery by simulation of a failure of the supply to the normal lighting for a period sufficient to ensure that each lamp is illuminated

Yes

No

N/A

10

In addition to central battery systems, the correct operation of system monitors shall be checked.Switch on in the emergency mode each luminaire and each internally illuminated exit sign from its battery by simulation of a failure of the supply to the normal lighting for a period sufficient to ensure that each lamp is illuminated

Yes

No

N/A

11

Each luminaire and internally illuminated sign shall be tested as per but for its full rated duration in accordance with the manufacturer's information;

Yes

No

N/A

12

The supply of the normal lighting shall be restored and any indicator lamp or device checked to ensure that it is showing that normal supply has been restored. The charging arrangements should be checked for proper functioning;

Yes

No

N/A

13

The date of the test and its results shall be recorded in the system logbook

Yes

No

N/A

14

Engineer Notes

15

Any Parts Used?* This field is required.

Yes

No

16

Parts Used Detail

17

The system has been left in a working condition* This field is required.

Yes

No

18

Engineer Name* This field is required.

19

Engineer Signature* This field is required.

20

Customer Name* This field is required.

21

Customer Signature* This field is required.

22

Customer Email AddressFor a copy of the call form to be emailed by our office

23

Time On Site

24

Time Off Site

25

Travel Time (Mins)