Warehouse Lighting Control Compliance Form
Warehouse/Facility Name
Address
Date of Inspection
Inspector Name
Lighting Control Checklist
Manual lighting controls accessible
Automatic occupancy/vacancy sensors installed
Daylight controls functioning
Timeclock or scheduling controls in use
Override capability with automatic reset
Fixtures and controls compliant with standards
Additional Compliance Items
Notes / Issues Identified
Corrective Actions Required
Final Compliance Status
Compliant
Non-Compliant
Inspector Signature
Signature
Date