Emergency Exit Hardware Checklist Form
Complete this Emergency Exit Hardware Checklist Form to document inspection details, hardware condition, required checks, issues found, and follow-up actions.
Inspection Date
*
-
Month
-
Day
Year
Date
Location of Emergency Exit
*
Inspector Full Name
*
First Name
Last Name
Type of Exit Hardware
*
Please Select
Panic Bar
Push Pad
Lever Handle
Mortise Lock
Other
Overall Condition of Hardware
*
Excellent
Good
Fair
Poor
Required Checks (Select all that apply)
*
Hardware securely attached
Operates smoothly without sticking
Latch/lock functions properly
No visible damage or corrosion
Exit pathway clear
Other
Did the hardware pass all required checks?
*
Yes
No
Issues Found (if any)
Actions Taken During Inspection
Is follow-up required?
*
Yes
No
Submit Inspection
Should be Empty: