| Facility Name | |
|---|---|
| Location | |
| Date | |
| Evaluator |
| Area/Zone | Fixture Type | Quantity | Wattage per Fixture | Total Wattage |
|---|---|---|---|---|
| Criteria | Yes | No | Comments |
|---|---|---|---|
| Lighting Levels Adequate | |||
| Fixture Condition Acceptable | |||
| Ceiling/Structural Integrity | |||
| Occupancy Controls Feasible | |||
| Daylight Controls Feasible |
| Area/Zone | New Fixture Type | Quantity | Wattage per Fixture | Total Wattage | Notes |
|---|---|---|---|---|---|