Explosion-Proof Light Safety Checklist Form
Explosion-Proof Light Safety Checklist Form for hazardous-area equipment inspection. Complete all fields to document your inspection findings.
Equipment/Location Identification
*
Inspection Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
First Name
Last Name
Light Fixture Identifier
*
Hazardous Area Classification
*
Zone 0
Zone 1
Zone 2
Other (specify below)
Checklist: Mark each item inspected
Power Status (Check all that apply)
*
Power On
Power Off
Power Fluctuation Observed
Inspection Items (Check if satisfactory, leave unchecked if issue found)
*
Enclosure Condition (no cracks, corrosion, or damage)
Lens/Cover Condition (clear, intact, properly sealed)
Cable/Gland/Entry Sealing (no loose or damaged seals)
Grounding/Bonding (secure and intact)
General Safety Observations
No obstructions or hazards present
Warning labels and markings legible
Inspection Outcome
*
All items passed (no corrective action required)
Issue(s) found (corrective action required)
Corrective Action Notes (complete if any issue is found)
Submit Inspection
Should be Empty: