Shopping Mall Emergency Exit Inspection Form
Please complete the form to document the inspection of emergency exits in the shopping mall.
Inspector Full Name
First Name
Last Name
Inspection Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Exit Location
Is the emergency exit clear and unobstructed?
Yes
No
Needs Attention
Are the exit signs properly illuminated?
Yes
No
Needs Attention
Is the emergency exit door functional and easy to open?
Yes
No
Needs Attention
Comments or Additional Notes
Inspector Signature
Submit
Should be Empty: