Title Page

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Security Camera System

  • Video Recorder Unit

  • CCTV Channel

Hard Drive Size

  • Storage

  • Quantity

Monitoring Screen

  • Photos

Channel Number 01

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 02

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 03

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 04

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 05

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 06

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 07

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 08

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 09

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 10

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 11

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 12

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 13

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 14

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 15

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Channel Number 16

  • Tag Number

  • Type of Camera

  • Brand/Model Number

  • Camera Condition

  • Camera Focus

  • Image Quality

  • Comments

Engineer Remarks/Signature

  • Remarks

  • Signature

Customer Remarks/Signature

  • Remarks

  • 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.