Emergency Lighting Maintenance Log
Record emergency lighting inspections, tests, results, defects, repairs, and follow-up actions for a facility or site.
Location and Asset Identification
Facility / Site Name
*
Building / Area Location
*
Floor / Room / Zone
Emergency Lighting Fixture / Asset ID
*
Fixture Type
*
Please Select
Emergency Light
Exit Sign
Combination Unit
Other
Inspection and Testing Details
Maintenance Log Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection/Test Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspection/Test Type
*
Visual Inspection
Functional Test
Duration Test
Battery Test
Other
Test Duration or Interval
Person Performing Inspection
*
First Name
Middle Name
Last Name
Operational Results
Power Source Status
*
Please Select
Normal
Mains Failure Simulated
Backup Power Active
Fault Detected
Not Tested
Lamp / LED Status
*
Operational
Dim
Flickering
Not Operational
Not Tested
Battery / Charger Status
*
Normal
Charging
Low Charge
Fault Detected
Not Tested
Activation / Illumination Result
*
Successful
Partial Illumination
Failed
Not Tested
Runtime Result (if tested)
Overall Result
*
Pass
Fail
Defects, Repairs, and Follow-up
Observed defects or failure details
*
Corrective action taken
*
Parts replaced
Work order or reference number
Next required maintenance date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Follow-up status
*
Please Select
Completed
Pending
Scheduled
Deferred
Not required
Submit Log
Should be Empty: