Emergency Lighting Test Sheet (Monthly)
Tested By:
First Name
Last Name
Test Date
-
Day
-
Month
Year
Date
Emergency Lights Top Floor (Flat)
*
Rows
Working
Not Working
Annual 1.5 Hour Test Pass
Lounge
Top Stairs
Bottom Stairs
Bottom Stairs Lobby
Emergency Lights First Floor (Office Level including Stairs)
Rows
Working
Not Working
Annual 1.5 Hour Test Pass
Office
Staff Room
Changing Room 1
Changing Room 2
Changing Room 3
Wash Room
Corridor 1
Corridor 2
Top Stairs
Middle Stairs
Bottom Stairs
Emergency Lights Ground Floor (Club Level including Stairs)
Rows
Working
Not Working
Annual 1.5 Hour Test Pass
Front New Fire Exit
Front New Fire Exit External
Lobby Link 1
Lobby Link 2
Main Entrance Above Door
Lobby Door to Club
Top of Main Stairs to Booths
Bottom Main Stairs to Booths
Front of Stage
Rear Stage
Toilet Door
Disabled Toilet
Bottom of Stairs to Table 5
Top of Stairs to Table 5
Table 5
Stairs to Sunken Area
Sunken Area
Rear Sunken Fire Exit
Stairs to Toilets 1
Stairs to Toilets 2
Stage Left
Stage Right
Above Table 1
Emergency Lights Basement
Rows
Working
Not Working
Annual 1.5 Hour Test Pass
Booth Lobby above Door 1
Booth Lobby above Door 2
Booth Corridor 1
Booth Corridor 2
Booth Corridor 3
Booth Corridor 4
Pool Room 1
Pool Room 2
Cellar
Toilet
Electric Cupboard
Pool to toilet above door
Gents
Ladies
Corridor 1
Corridor 2
Outside seating 1
Outside seating 2
Outside Booth Corridor
Top Fire Stairs
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