Emergency Exit Inspection Form
Please complete this form to document the status of emergency exits.
Inspector Full Name
First Name
Last Name
Date of Inspection
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Emergency Exit
Is the emergency exit clear and unobstructed?
Yes
No
Are the exit signs clearly visible and illuminated?
Yes
No
Is the emergency exit door functioning properly?
Yes
No
Comments or Observations
Submit
Should be Empty: