Annual Emergency Lighting Test for Surgery Centers

This template supports the annual 90 minute emergency lighting and exit sign test for surgery centers. Use it to document where breakers were turned off, the generator start, and that egress routes remain illuminated for the full duration. Sections cover front lobby and office exits, recovery areas, supply and back halls, operating room corridors and doors, and common areas. For each location, record pass or fail results, time in minutes, and corrective actions taken. Include the final certification signature to confirm the inspection has been reviewed and completed. This template is intended as a general example and should be validated against your local codes and facility policies.