Information

  • Customer

  • Site Address

  • Post code

  • Site reference

  • Tesseract / Call Ref number

  • Date of Inspection

  • Inspected by

Aerial Array

  • Location

  • Photo

  • Condition of aerial array?

  • Remedial action required?

  • Photos (if required)

Satellite Dish

  • Location

  • Photo

  • Condition of satellite dish?

  • Remedial action required?

  • Photos (if required)

  • Condition of LNB?

  • Remedial action required?

  • Photos (if required)

Head End

  • System earth bonded correctly?

  • Comments

  • Location

  • Photo

  • System Type

  • If other, specify

  • System Manufacturer

  • If other, specify

  • Condition of Head End

  • Remedial action required

  • CCTV Modulated on system?

  • List output chanel

  • Photos (if required)

Repeaters

  • Does the system have repeaters?

  • Locations

Cabling

  • Internally or Externally cabled

  • Quality & Condition of Cabling

  • What remedial action is needed?

Landlord Power (visual inspection only)

  • Remote or Direct main power?

  • Safety Earth correct?

  • Remedial action is required?

  • What remedial action?

  • Photos (if required)

  • Condition of electrical installation - OK?

  • Remedial action is required?

  • What remedial action?

  • Photos (if required)

Overall condition / Performance of system / additional information

  • Any additional comments

  • Any additional photos

  • Engineer 1

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.