Blue Light Safety Inspection Checklist Form
Complete this checklist to ensure all blue light safety standards are met during your inspection.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Location
*
All blue light fixtures are securely mounted
*
Checked
All blue light bulbs are functioning correctly
*
Checked
Emergency blue light stations are accessible and unobstructed
*
Checked
Blue light signage is visible and legible
*
Checked
Communication system at blue light stations is operational
*
Checked
No visible damage or tampering to blue light equipment
*
Checked
Additional Comments or Observations
Submit Inspection
Should be Empty: