1
Construction statement
Emergency lighting
All sections of this form must be completed
TO BE COMPLETED BY THE PERSON WHO HAS UNDERTAKEN THE INSTALLATION OF THE EMERGENCY LIGHTING
Name
Building consent
number
Company
Electrician’s
registration number
Site address
Legal description
Performance standard
for maintenance and
inspection
I have sighted the above building consent and read the attached conditions of consent together with the emergency lighting
design contained therein, and confirm that:
• the emergency lighting has been installed in accordance with the approved emergency lighting design
• the emergency lighting system has been commissioned and tested in accordance with AS2293.1 & AS2293.3
• all work has been carried out in accordance with the building consent and complies with the Building Code clauses:
(tick as appropriate)
☐
F6 Visibility in Escape Routes
☐
I attach copies of the following documents
☐ Duration test results ☐ Illuminance measurements ☐ As built plan showing location of all emergency
lights
(mandatory)
I understand that Council will rely upon this construction statement, for the purposes of establishing compliance with the
above building consent.
Signature Date
Tradeperson’s contact details
Address Postcode
Business Fax
Email Mobile
