Manufacturing Facility Lighting Audit Form
Document lighting conditions, measurements, operational findings, and recommended follow-up.
Facility Name
*
Facility Contact
*
First Name
Last Name
Contact Email
example@example.com
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Areas Inspected
*
Production floor
Assembly area
Warehouse
Quality control area
Loading and receiving
Office or support area
Other area
Lighting Technology
*
Please Select
LED
Fluorescent
High-intensity discharge (HID)
Incandescent or halogen
Mixed technologies
Other or unknown
Lighting Condition
*
Please Select
Good
Fair
Poor
Mixed by area
Measured Illumination
*
Illumination Units
*
Please Select
Lux (lx)
Foot-candles (fc)
Observed Issues, Energy and Controls, Recommended Actions, and Follow-Up
Submit Audit
Should be Empty: