Information
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Site Name
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Site/Branch No.
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Site Address
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Managers Name
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Conducted on
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Deputy Managers Name
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Contact Details
1. Fire Protection
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Fire Alarm System
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Type of system
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Make
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Condition
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Location
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Evidence:
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Fire Alarm Panels
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Type of system
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Make
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Condition
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Location
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Evidence:
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Smoke Detectors
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Make
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Type
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Condition
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Location
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Evidence:
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Heat Detectors
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Make
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Type
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Condition
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Location
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Evidence:
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Manual Call Points
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Make
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Type
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Condition
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Location
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Evidence:
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Bells
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Make
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Type
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Condition
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Location
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Evidence:
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Electronic Sounders
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Make
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Type
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Condition
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Location
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Evidence:
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Input Output Units
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Make
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Type
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Condition
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Location
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Evidence:
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Linked to another panel
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Make
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Type
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Condition
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Location
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Evidence:
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Linked to a call centre
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Make
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Type
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Condition
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Location
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Evidence:
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Batteries No/Size/Type/Date
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Make
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Type
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Condition
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Location
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Date of Battery Installation
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Evidence:
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Panel Code/Key No.
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Make
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Type
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Condition
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Location
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Evidence:
2. Emergency Lights
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Maintained
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Make
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Type
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Condition
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Location
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Evidence:
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Non-Maintained
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Make
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Type
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Condition
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Location
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Evidence:
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Sustained
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Make
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Type
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Condition
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Location
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Evidence:
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Twinspots
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Make
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Type
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Condition
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Location
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Evidence:
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Access Equipment Needed
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Make
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Type
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Condition
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Location
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Evidence:
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Location of Test Switches
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Make
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Type
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Condition
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Location
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Evidence:
3. AOV Systems
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Batteries SIze/Type
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Make
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Type
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Condition
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Location
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Evidence:
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Actuator/Mag Type
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Make
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Type
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Condition
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Location
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Evidence:
4.Fire Extinguishers
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Wet Chemical
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Make
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Type
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Condition
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Location
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Evidence:
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Foam Spray
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Make
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Type
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Condition
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Location
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Evidence:
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CO2
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Make
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Type
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Condition
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Location
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Evidence:
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Water
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Make
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Type
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Condition
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Location
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Evidence:
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Fire Blanket
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Make
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Type
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Condition
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Location
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Evidence:
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Fire Bucket
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Make
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Type
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Condition
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Location
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Evidence:
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Dry Powder
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Make
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Type
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Condition
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Location
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Evidence:
5. Site Questions - Fire
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Any Special Site Requirements?
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Details
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Approximate Age of System?
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Overall Condition of System?
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Time & Date Survey Completed
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Additional Information/Recommendations
6. Door Entry System
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Main Entrances:
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Evidence:
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Door type:
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If other please specify:
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Rear Entrances
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Evidence:
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Door type:
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If other please specify:
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Controlled sub-landing doors:
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Evidence:
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Door type:
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If other please specify:
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System Manufacturer:
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Evidence:
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System Type:
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Evidence:
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Digital or Functional:
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Evidence:
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Audio or Audio/Video:
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Evidence:
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Type:
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Evidence:
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Trades button:
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Evidence:
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Main controller:
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Evidence:
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Landing junction boxes:
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Evidence:
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Access controlled doors:
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Type:
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Evidence:
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Type:
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Evidence:
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Locks used:
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Evidence:
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Notes:
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General condition of the system:
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Evidence:
7. Gates & Barriers
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Evidence:
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System manufacturer:
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System type:
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Main controller:
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Evidence:
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Access control:
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Type:
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Evidence:
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Locks used:
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Notes:
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General condition of the system:
8. CCTV
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Type:
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Evidence:
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Type:
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Evidence:
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Type:
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Evidence:
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Type:
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Evidence:
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Evidence:
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Telemetry transmitter type:
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Evidence:
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DVR type:
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Evidence:
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Power supplies used:
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Evidence:
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Remote monitoring:
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Via:
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Evidence:
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Type:
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Size:
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Evidence:
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Notes:
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General condition of the system: