Black Box Group CCTV Checklist (NCP 104 Issue 3) (INS)

• Site conducted

  Select

• Inspection Report Number

• Points Total
  Address

• NSI Grade (A_E)

  Yes

  No

  N/A

• Name and Address of Installation

  Yes

  No

  N/A

Documentation - Site Survey, Risk Assessment & User Requirement

• A1 - Risk assessment

  Yes

  No

  N/A

• B1 - Site Survey

  Yes

  No

  N/A

• C1 - User requirement

  Yes

  No

  N/A

Documentation

• D1-D5 - Documentation

  Yes

  No

  N/A

• D6-D11 - Imaging & Sensing

  Yes

  No

  N/A

• D12-D15 - Video & Audio

  Yes

  No

  N/A

• D16-D18 - Data handling

  Yes

  No

  N/A

• D19-D22 - Networks

  Yes

  No

  N/A

• D23-D25 - Ancillaries

  Yes

  No

  N/A

• D25-D30 - Operations

  Yes

  No

  N/A

• E1 - Installation

  Yes

  No

  N/A

• F1-F4 - Test plan

  Yes

  No

  N/A

• G1-G6 - Commissioning & Handover

  Yes

  No

  N/A

System Inspection

• H1-H8 - Imaging & Sensing

  Yes

  No

  N/A

• J1-J4 - Video & Audio

  Yes

  No

  N/A

• L1-L4 - Networks

  Yes

  No

  N/A

• M1-M5 - Ancillaries

  Yes

  No

  N/A

• N1-N2 - Operations

  Yes

  No

  N/A

• P1-P9 - Installation

  Yes

  No

  N/A

Closing

• Add comments to describe deviations or observations on documentation or inspection. If part of the installation has not been checked, please give an explanation in the section below.

• Engineer Signature

  Sign

• Date

  Date

• Auditor Signature

  Sign

• Date

  Date
• Location
  Address