Audio Visual Site Survey

• Room Number/Room Type

  Conference Room

  Classroom

  EOC

  Studio

  Television Station

• Status of room AV system

  Select Rough in Upgrade Testing Complete Incomplete Modification

  • Rough in
  • Upgrade
  • Testing
  • Complete
  • Incomplete
  • Modification

• Prepared by

• Site Address
  Address

• Date and time of inspection

  Date

• Inspection Type

  initial inspection

  re-inspection

• Is reinspection required for non compliance

  Yes

  No

  N/A

• Client rep

  Sign

• Haivisison-Tech rep

  Sign

• Planned date and time for reinspection

  Date

• If re-inspection, note date and time of previous/initial inspection

  Date

Room

• What floor is the room on

• Elevator Access

  Yes

  No

  N/A

• Loading Dock

  Yes

  No

  N/A

• Room Dimensions

• Wall Material

• Ceiling Material

• If Drop Ceiling, height from drop ceiling to deck

• Floor Material

• If floor is raised, height of floor

• Is there existing furniture

  Yes

  No

  N/A

Existing Room Equipment

• Are there existing wiring Diagrams

  Yes

  No

  N/A

• Is there an existing Control System

  Yes

  No

  N/A

• Will any equipment be repurposed

  Yes

  No

  N/A

• Are there ceiling microphones

  Yes

  No

  N/A

• Does system pose VTC

  Yes

  No

  N/A

• Does system require Teleconferencing

  Yes

  No

  N/A

• Existing Audio DSP

  Yes

  No

  N/A

• Is there a TV Tuner/ Cable/Satellite Feed

  Yes

  No

  N/A

• How Many

• Are there any Classification requirements

  Yes

  No

  N/A

• What requirements

  Unclassified

  Classified

  Top Secret

  Centrix

• Are there Ceiling Speakers in place

  Yes

  No

  N/A

• How Many

• Can Speakers be repurposed

  Yes

  No

  N/A

Workstations

• Number of Computer Workstations as input/outputs

  Yes

  No

  N/A

• Computer output resolution

  Yes

  No

  N/A

Video Wall and Aux monitors

• Will Walls Support Displays

  Yes

  No

  N/A

• Video Wall Required

  Yes

  No

  N/A

• Aux Monitors Required

  Yes

  No

  N/A

• Sizes of Displays

  Yes

  No

  N/A

• Photos

  Media