Lighting & Controls Functional Performance Test
Date Customer Name
Customer Address
Room Name
Recorded/Measured
Functional Performance Check Pass/Fail Remarks
Verify switch location
Verify switch ON/OFF function
Lights illuminate
Lighting circuit is identified
Lighting panel is labeled as required
Verify occupancy sensor location
Verify occupancy sensor ON/OFF function
Verify daylight sensor location
Verify daylight sensor ON/OFF function
Measured Lux Levels (lux)
Service Engineer Comments:
Service Engineer Name:
Service Engineer Signature: