Emergency Installation and Inspection
Serial / Luminaire Number:
Installation / Test
Record
Year 1
Monthly test
Signed
1
2
3
4
5
6
7
8
9
10
11
12
Installed By:
Commissioned By:
Date
Signed
Year 2
Date
Signed
Date:
Date:
Year 3
*The battery must be replaced
Date
Signed
Year 4*
Date
