Emergency Lighting Periodic Test Certificate | Lux Meter Pro

Current User: Dad-Link | Date: 2025-06-21 12:26:46 UTC | Certificate Type: Emergency Lighting Periodic Test Certificate

EMERGENCY LIGHTING

PERIODIC INSPECTION AND TESTING CERTIFICATE

BS 5266-1:2016 / BS EN 50172:2004

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Certificate Number: *

DETAILS OF THE CLIENT

Client: *

Address: *

DETAILS OF THE EMERGENCY LIGHTING INSTALLATION

Installation Address: *

Extent of the emergency lighting installation covered by this certificate: *

DETAILS OF DEVIATIONS FROM THE CURRENT STANDARDS

Clause Number	Details of Deviation	Actions

RELATED REFERENCE DOCUMENTS

Related reference documents and certificate numbers:

NEXT INSPECTION

We RECOMMEND that this installation is further inspected and tested after an interval of not more than:

(Interval in accordance with Clause 7.2 of BS EN 50172: 2004 / BS 5266-8: 2004)

CERTIFICATION OF THE INSPECTION AND TESTING

I/we hereby certify that the emergency lighting system installation at the above premises has been inspected and tested by me/us in accordance with the results of the items inspected and tested on page 2, and to the best of my/our knowledge and belief, the results and recommendations made are in accordance with the requirements of BS 5266-1: 2016 Emergency Lighting Part 1: Code of practice for the emergency lighting of premises, BS 1838: 2013 Lighting applications - Emergency lighting and BS EN 50172: 2004 / BS 5266-8: 2004 Emergency escape lighting systems, except for the deviations recorded.

Name: *

Position: *

Date:

Signature: *

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DETAILS OF THE ELECTRICAL CONTRACTOR

Trading Title: *

Telephone Number: *

Address: *

Postcode:

Registration Number (if applicable):

PURPOSE OF INSTALLED EMERGENCY LIGHTING SYSTEM *

Emergency escape lighting

Emergency safety lighting

Open area lighting

Standby lighting

Partial standby lighting

High risk task area lighting

EMERGENCY LIGHTING INSTALLATION ARRANGEMENT *

Self-contained emergency luminaire

Central battery system

Combined emergency luminaire

Standby generator system

CATEGORIES OF OPERATION FOR EMERGENCY LIGHTING SYSTEM *

Type No	Mode	Facilities	Duration	Actions

RESULTS OF INSPECTION AND TESTING *

BS 5266-1:2016

Clause Reference	Requirements	System Conformity	Actions

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