CCTV - Routine Planned Preventative Maintenance

• Customer

• Site Address

• Post code

• Job Number

• Date of Inspection

  Date

• Inspected by

• Site reference (if applicable)

Camera

• Number of Cameras

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Additional camera?

  Yes

  No

• Camera Number

• Photo

  Media

• Camera Type

  Select Static Auto

  • Static
  • Auto

• Location

• Housing Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Cables and Glands Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Mounting Bracket Secure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Lens cleaned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• PTZ Controls Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Pan Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Tilt Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Zoom Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Focus Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Iris Satisfactory?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Infra Red operational?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• View clear?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

Monitors

• Type

  Select CRT TFT

  • CRT
  • TFT

• Picture Quality?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• Condition of screens?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• Cleanliness of screens?

  Select Good Average Poor

  • Good
  • Average
  • Poor

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

DVR

• Recording OK?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Functions OK?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

• Test recording required?

  Yes

  No

  N/A

• Details

Cables & Wiring

• Cables & Wiring - OK?

  Yes

  No

  Not seen

  N/A

Conduit

• Check condition of conduit - OK?

  Yes

  No

  N/A

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

Landlord Power

• Visual inspection of Landlord power - OK?

  Yes

  No

• Remedial action is required?

  Yes

  No

• Able to fix on site?

  Yes

  No

• Works carried out / required?

• Photos (if required)

  Media

Additional Equipment (Keyboard / Switches / NVT Drivers / UPS)

• Comments

• Supporting photos

  Media

Overall condition / Performance of system / additional information

• Any additional comments

• Any additional photos

  Media

• Engineer

  Sign

• Client representative (if available)

  Sign