Computer Room Survey

• Document No.

• Audit Title

• Prepared by

Basic Information

• Main server room

• Name of Room

  room 1

  Room 2

  Room 3

• GP comms room

• Site Name and room number if applicable

Room details

• Is the room secure

  Yes

  No

  N/A

• Is the room safe. <br>I.E no unused equipment left lying around

  Yes

  No

  N/A

• Does equipment need to be removed ?

  Yes

• Add items requiring collection:

Room Assets

• Please enter details of all equipment found in the room

Equipment present

• Item

• Asset or serial No

• Take any photographs that would assist in showing any issues found in the room

• Take any photographs that would assist in showing any issues found in the room

  Media

Sign Off

• Date and time of visit

  Date

• Engineer Name:

  Sign