Building Exit Request Button Inspection Checklist Form
Complete this checklist to verify the condition, placement, labeling, accessibility, and functionality of building exit request buttons.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Exit Request Button
*
Checklist: Select all conditions that are met for this exit request button.
*
Button is securely mounted
Button is clearly labeled
Label is legible and visible
Button is unobstructed and accessible
Button functions as intended when pressed
If any conditions are not met, specify details or corrective actions needed.
Is the area around the button free from obstructions?
*
Yes, area is clear
No, area is obstructed
Is the button reachable for all intended users (including those with disabilities)?
*
Yes, button is accessible
No, accessibility concerns exist
Upload a photo of the exit request button (optional)
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