Lighting Audit Form
Facility Name
Date
-
Month
-
Day
Year
Date
Auditor Name
First Name
Last Name
Number of Entries
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Interior/Exterior
A/C
Qty
Existing Fixture
Wattage
Controls
Notes
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Interior/Exterior
A/C
Qty
Existing Fixture
Wattage
Controls
Notes
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Interior/Exterior
A/C
Qty
Existing Fixture
Wattage
Controls
Notes
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Interior/Exterior
A/C
Qty
Existing Fixture
Wattage
Controls
Notes
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Interior/Exterior
A/C
Qty
Existing Fixture
Wattage
Controls
Notes
Submit
Should be Empty: