CHECK LIST FOR SITE LIGHTING LUMINANCE

Initial Check / Routine Check (Strike out which is not applicable)

SF 22
Make & Model: Equipment No.:

CHECK ITEMS (to be checked on the day of use ) - Complied -√ Not complied – X
Sl. No. DESCRIPTION Date
1

10

11

Equipment is fit for use - Yes / No

Checked by Contractor Safety officer / Supervisor

Checked by SIEMENS Safety Officer / Site In Charge

Note: If any of the above points are not complied, check all the points again after rectification
Remarks