Exit Sign Self-Inspection Checklist Form
Complete this checklist to document routine exit sign self-inspections and ensure facility safety compliance.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Facility / Building Name
*
Exit Sign Location or ID
*
Is the exit sign securely mounted and undamaged?
*
Yes
No
Not Applicable
Is the exit sign clearly visible and free from obstructions?
*
Yes
No
Not Applicable
Is the exit sign illumination working properly (test both normal and backup power)?
*
Yes
No
Not Applicable
Are all letters and symbols on the exit sign legible and intact?
*
Yes
No
Not Applicable
Describe any issues found during inspection
Follow-up action required
Submit Inspection
Should be Empty: