Security Beacon Inspection Log Form
Complete this form to record details of each security beacon inspection.
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Beacon Identification Number
*
Inspection Location
*
Beacon Operational Status
*
Operational
Not Operational
Intermittent
Power/Battery Status
*
Good
Low
Needs Replacement
Signal/Visibility Check
*
Clear
Obstructed
No Signal
Physical Condition
*
Good
Minor Damage
Major Damage
Issues Found (if any)
Corrective Action Taken
Inspector Name or Initials
*
Submit Inspection Log
Should be Empty: