Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site Information

  • Installation Date

  • Installation Location

  • Camera Number

  • Camera Name

  • Controller ID

  • Comments

Pre-Start Checks

  • Site Risk Assessment Completed

  • WH&S Management Plan Reviewed and Signed

Camera Details

    Camera
  • Camera Model

  • Camera Type

  • Camera IP Address

  • Serial Number

  • Software Version

  • Baud Rate Set at 4800

  • Camera Mounting Location

  • Describe Camera Mounting Location

  • Post Number

  • Bracket Type

  • Describe Bracket

  • Photos of Camera

  • Comments

Encoder Details

  • Encoder Type

  • Video Resolution

  • Frame Rate (fps)

  • Bit Rate (KB/sec)

  • PTZ Controlled Remotely Through Browser

  • Check Cable and Termination

  • Comments

  • Encoder Model

  • Serial Number

  • Encoder IP Address

  • Video Resolution

  • Interface Mode

  • Frame Rate (fps)

  • Bit Rate (KB/sec)

  • PTZ Controlled Remotely Through Browser

  • Check Encoder Temperature

  • Check Fan for Noise

  • Check Cable and Termination

  • Comments

  • Fibre Transmitters

  • Transmitter Model

  • Transmitter Serial Number

  • Receiver Model

  • Receiver Serial Number

Cabinet/Communications Details

  • Cabinet Details

  • Cabinet
  • Cabinet Type

  • Top Hat Installed

  • Controller Control Module

  • Blue Tooth Installed with Shark Fin

  • Describe Cabinet Type

  • Cabinet ID

  • Communications

  • Describe Communications Method

  • Ethernet Switch

  • Describe Switch

  • Model Number

  • Switch IP Address

  • Serial Number

  • Ethernet Switch Standard Port Allocations:
    Port 1 - Camera
    Port 2 - Modem or 3G Units
    Port 3 - LCM or TIC
    Port 4 - Blue Tooth Processor
    Port 5 - Spare
    Port 6 - Spare
    Port 7 - External Backbone Fibre Connection 1
    Port 8 - External Backbone Fibre Connection 2

  • Port 1 Device

  • Port 2 Device

  • Port 3 Device

  • Port 4 Device

  • Port 5 Device

  • Port 6 Device

  • Port 7 Device

  • Port 8 Device

  • Front View of Switch

  • Fibre Patch Panel

  • Fibre Type

  • Describe Fibre Setup

  • Photos of FOBOT

  • Photos of Cabinet

  • CCTV Communication Path

  • Comments

Power Supplies

  • Camera PSU Model

  • Camera PSU Serial Number

  • Network Switch PSU Model

  • Network Switch PSU Serial Number

  • Comments

Cable Types

  • Camera Power Cable

  • Video Cable

  • PTZ Control Cable

  • Network Cable

  • Comments

Electrical Testing

  • Insulation Test > 1Mohm

  • Continuity Test

  • Polarity Test

  • Comments

Local Checks

  • Visual Inspection

  • Clean Lens and Housing

  • Cycle Camera Power

  • Camera Startup Configuration Completed

  • Measure Video Level (mv)

  • Measure Camera Supply Voltage (V)

  • Check Cables and Connections

  • Brackets and Mounts are Safe

  • Local PTZ Control Available

  • Cabinet/Tophat Clean and Tidy

  • Comments

Remote Checks

  • Ping Response Time (ms)

  • Check Video and PTZ Through DVTEL

  • Comments

Documentation Checklist

  • Any Changes are Noted on Design Drawings

  • Site Diary Completed

  • Certificate of Test Completed

  • Comments

  • Technician Signature

  • Supervisor Signature

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.