Title Page

  • Conducted on

  • Address
  • Prepared By

Start with external cameras top row left to right then second row etc. Then same with Phase 4 and finally main site.

External 1st row No1 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 1st row No2 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 1st row No3 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 1st row No4 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 2nd row left PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 2nd row centre FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 2nd row right PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 3rd row left FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 3rd row right PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 4th row No1 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 4th row No2 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 4th row No3 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

External 4th row No4 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 cameras left to right top to bottom

Phase 4 1st row No1 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 1st row No2 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 1st row No3 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 1st row No4 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 2nd row No1 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 2nd row No2 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 2nd row No3 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 2nd row No4 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 3rd row No1 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 3rd row No2 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 3rd row No3 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 3rd row No4 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 4th row No1 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 4th row No2 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 4th row No3 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Phase 4 4th row No4 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main site cameras left to right top to bottom

Main Site 1st row No1 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 1st row No2 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 1st row No3 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 1st row No4 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 1st row No5 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 1st row No6 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 2nd row No1 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 2nd row No2 ?

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 2nd row No3 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 2nd row No4 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 2nd row No5 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 2nd row No6 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 3rd row No1 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 3rd row No2 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 3rd row No3 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 3rd row No4 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 3rd row No5 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 3rd row No6 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 4th row No1 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 4th row No2 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 4th row No3 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 4th row No4 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 4th row No5 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 4th row No6 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 5th row No1 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 5th row No2 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 5th row No3 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 5th row No4 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 5th row No5 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 5th row No6 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 6th row No1 FIXED

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 6th row No2 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Main Site 6th row No3 PTZ

  • Is the camera lens focused and adjusted properly?

  • Is the camera lens free from dust and marks?

  • Do all camera functions such as zoom and pan work correctly?

Control Equipment

  • Are the monitors showing clear picture? brightness and contrast settings correctly adjusted?

  • Are all of your switches and individual equipment fully functioning?

  • Are all monitors and equipment free from dust and grime?

  • Are all cables leading from the equipment in good condition? No weak connections?

  • Is the time and date stamp correctly set?

  • Are all power connections and AC plugs not loose and in good working condition?

Type Name and Sign

  • Add signature

undefined

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.