External Lighting Fully functional Partially functional Nonfunctional N/A External Storage Fully functional Equipment Partially functional Nonfunctional N/A External Storage Fully functional Vehicles Partially functional Nonfunctional N/A Parking Structures, Lots Fully functional (Power, panic alarms, access, egress, lighting) Partially functional Nonfunctional N/A Landing Zone Fully functional Pads, lighting, fuel source Partially functional Nonfunctional N/A 7. Remarks (Cracked walls, broken glass, falling light fixtures, etc.) 8. Prepared by PRINT NAME: SIGNATURE: ____________________________________________________________ __________________________________________________________ DATE/TIME: ______________________________________________________________ facility: ______________________________________________________________
External Lighting Fully functional Partially functional Nonfunctional N/A External Storage Equipment Fully functional Partially functional Nonfunctional N/A External Storage Vehicles Fully functional Partially functional Nonfunctional N/A Parking Structures, Lots Fully functional Partially functional Nonfunctional N/A (Power, panic alarms, access, egress, lighting) Landing Zone Pads, lighting, fuel source Fully functional Partially functional Nonfunctional N/A 7. Remarks (Cracked walls, broken glass, falling light fixtures, etc.) 8. Prepared by PRINT NAME: ____________________________________________________________ DATE/TIME: ______________________________________________________________ SIGNATURE: __________________________________________________________ facility: ______________________________________________________________