Title Page

  • Job Name:

  • Room Name:

  • Room Number:

  • Job Number:.

  • Conducted on:

  • Project Location:
  • Certified By:

  • Project Manager:

  • Programmer:

  • Project Foreman:

Certification

Displays/Projectors/Video wall

  • Is there a Video wall present?

  • Have the displays been properly leveled?

  • Take a picture showing either the displays and the ground, the displays and the ceiling or the displays and the niche as a level reference

  • Take a picture of the display with a focus on the bubble of a level.

  • Have the displays been properly gapped by using a gap it tool with and ideal spacing of 0.5mm to 0.75mm

  • Take pictures of the corners of the displays that are intersecting with each other.

  • Are the bezels of the video wall free from any scuffs or scratches?

  • Take a picture of the damage

  • Are there any pixels that are not working

  • Take a picture of the pixels that are not working.

  • Has a color calibration been completed?

  • Has the color calibration report been submitted?

  • Video Wall

  • Does the room have displays installed or a projector, or both?

Displays

  • Are the displays in a Medical Office?

  • Has a DICOM calibration been completed?

  • Has the DICOM calibration report been submitted?

  • Have the displays been properly leveled?

  • Take a picture showing either the display and the ground or the display and the ceiling as a level reference.

  • Take a picture of the display with a focus on the bubble of a level.

  • Are all security features on the mount engaged?

  • Ensure that all cabling has been dressed behind the display and that there is no risk of cabling becoming loose. - Take a picture of the entire display FROM THE FRONT showing no cabling protruding from the sides.

  • Are all devices behind the display properly attached (no Velcro)?

  • Take pictures of any devices that are visible BEHIND the display.

  • Is image properly filling the screen (no over scanning, correct aspect ratio)?

  • Have the IR buds been hot glued in place (if applicable)?

  • Take a closeup photo of any IR buds showing whether or not they have been hot glued.

  • Have all of the required settings been set within the display's menu?<br>- Auto power off (off)<br>- Energy saver (off)<br>- Unused inputs disabled<br>- Inputs labeled (if allowed by display)<br>- Quick start (enabled)

  • Have the displays been wiped down and had all plastic film removed?

  • What is the make and model of the display(s)?

  • Displays

Projectors & Projection Screens

  • Is the projected image correctly filling the screen and focused? Is there minimal keystone correction if any? <br>- If not, check the screen aspect setting as well as the projector lens aspect ratio.<br>- Take a picture that shows the entire image filling the screen.<br>- Take CLOSE-UP pictures (right/left side) where the white screen meets the black showing that the image is correctly filling.

  • Verify that there is minimal to no vibration within the projected image.<br>

  • Verify that the rooms lighting is not causing washout of the projected image.

  • Have the projector cables been properly dressed (neat and not over bent)? Is the projector power cable dressed neatly to the ceiling and over to the outlet (if applicable)? <br>- Take a picture of the projector showing the cables correctly dressed.<br>- Take a picture of the projectors power cabling showing that it is properly dressed.

  • Is the projector cleaned and free of fingerprints or dirt?

  • Is the projection screen damage free?

  • Is the projection screen clean and free of scuffs and grease?

  • Is the projection screen properly tensioned?

  • Enter any additional notes here.

  • Projectors and Projection Screens

Video Sources

  • Is there Digitial Signage for the system?

  • Is this Zoom digitial signage?

  • Has the Zoom system been activated using the activation code?

  • Does Audio and Video work properly when sharing content?

  • Take a picture of Zoom screen or content.

  • Is the signage player displaying a logo/splash screen/content?

  • Take a picture of display showing logo/splash screen/content.

  • Digital Signage

  • Are there any video sources available for the system?

  • Conduct a full system test by routing every available video input to all destinations using the programmed routes. - TAKE A PHOTO OF EACH VIDEO SOURCE ON EVERY ENDPOINT. - This is to consist of but not be limited to table inputs, wall inputs, floor inputs, rack based devices (PC's/Apple TV's/wireless video devices/signage players). - List in the notes what is not working (if applicable)

  • List all available video sources.

  • Video Sources

Audio Sources

  • Is there sound masking present?

  • Is white noise being distributed evenly throughout the work space? Use the approved SPL meter (Decibel X) to take a sound measurement throughout the workspace (open office area, hallways, lobby, break room. etc). Verify that the measured variance is no more than +/-5dB from point to point. Take a picture from SPL meter for each different area. (Include at least 5 photos)

  • Open office area

  • Hallway(s)

  • Lobby

  • Break room(s)

  • Misc area

  • If speakers are exposed are speakers evenly spaced and equally suspended from the deck?

  • Take pictures showing multiple speakers.

  • Audio Sources

  • Verify that all audio inputs to the system are able to be routed to all pre-determined destinations. <br>- This includes table inputs, rack based sources as well as any devices located throughout the system.<br>- List in the notes what is not working (if applicable)

  • Are there are any audio input or output plates (3.5mm plates, 1/4" plates, RCA plates, XLR plates, ETC) in the system?

  • Is audio passing through system with out any distortion/noise?

  • What was used to perform system test?

  • Audio Sources

Multi-Channel Loudspeaker System

  • Does system have speakers?

  • Is system 70v system or 8 Ohm system?

  • Are the speakers in the correct sequence? Right and Left, Front and Rear?

  • Verify that all speakers have clean grilles and consistently orientated logos. Verify that grills have been installed firmly secured all the way. Take a picture of the speakers in the room/area.

  • Using the approved SPL meter (Decibel X) while playing Pink Noise take sound measurements from each speaker. Verify that the measured variance is no more than +/-5dB from speaker to speaker. If room has 12 or less speakers take a reading/picture from each speaker.

  • Have all speakers been properly supported?

  • Multi-channel Loudspeaker System certification

  • Verify that all audio speakers to the system are being routed to sound bar or displays on board speakers.<br>- If soundbar is installed take photo of soundbar

  • Enter any additional notes here.

  • Multi-channel loudspeaker System

Wall/Table/Floor Box Connections

  • Are there any wall connections present?

  • Are all installed wall plates found to be level?

  • - Take a picture showing all wall plates and the ground as a level reference.

  • Are all wall plates passing signals (audio and video) through the system?

  • Wall Connections

  • Are there any table connections present?

  • Are all table boxes square in the table?

  • Are the table boxes organized in their appearance? - Take photo of table and cables organized.

  • Are the cables under the table neatly dressed and are not hanging down to where they could be tangled or damaged?

  • Table Connections

  • Are there any floor box connections present?

  • Is there an input plate installed?

  • Does the input plate have a cover plate installed?<br>

  • Take a photo of the cover plate.

  • Are all floor plates passing signals (audio and video) through the system?

  • Is the floor box clean of all debris?

  • Floor Connections

Audio and Video Conferencing

  • Is there a Video and/or Audio Conferencing system installed in the room?

  • What type of system is installed in the room.

  • Make a test call back to the Immedia office. Check for the following:<br>- Call clarity (incoming and outgoing)<br>- All Dialer buttons are working<br>- Test all volume buttons and privacy buttons (incoming volume, outgoing, mute, etc)<br>Is audio conferencing working properly? <br>Note below what is not working.

  • Is this a Zoom/Teams Room?

  • Are peripherals connected/configured to PC? (keyboard, mouse, etc)

  • Is the equipment for Zoom/Teams (Room controller, speakerphone, mics) organized and clean looking?

  • Take a picture of the relevant equipment setup.

  • Take a picture of Zoom/Teams Room controller in active call mode.

  • Make a Zoom/Teams call. Can the listener on the far end hear clearly and is able to listen for a prolonged time?

  • Able to invite users while in a meeting?

  • Confirm the call directory is available.

  • If a PTZ camera is deployed, are you able to control camera (Pan, Tilt and Zoom)?

  • What type of camera is installed?

  • Has PM/Engineering been notified of issue?

  • Are the camera(s) mounted at an appropriate height so as to capture the entire table or the designated speaker if in a training room scenario?

  • Take a picture from a distance showing the height of the camera in relation to the room.

  • Is camera secured to the mount?

  • Is camera level with respect to the ground?

  • Are the camera's associated cabling/devices properly installed and or dressed?

  • Take a picture of the camera and its associated cabling.

  • Able to share video content with audio through Zoom?

  • Are the camera(s) mounted at an appropriate height so as to capture the entire table or the designated speaker if in a training room scenario? <br>- Take a picture from a distance showing the height of the camera in relation to the room.

  • Is camera secured to the mount?

  • Is camera level with respect to the ground?

  • Are the camera's associated cabling/devices properly installed and or dressed? Take a picture of the camera and its associated cabling.

  • Make a test call within the company to another room/location (if available). If not, make a call back to the office.<br>Test for:<br>- Video clarity<br>- Full camera control (to the extent allowed by the camera)<br>- Content sharing (with audio if allowed by the system)<br>Is this working properly?<br>Note below what is not working.

  • Audio and/or Video Conferencing

Microphones (wireless & wired)

  • Are there any microphones in the system?

  • What type(s) of microphones are present in the system?

  • Are all mics labeled correctly? Do the labels match the interface labeling? - Take photo(s) of labels on mics

  • Are all wireless microphone channels frequency coordinated? Ensure that new microphones are coordinated with existing microphones on site. (https://www.shure.com/en-US/support/tools/frequency-finder)

  • Take photo of each mic receiver showing different frequencies

  • Are all table mics oriented correctly?

  • Take a picture of the microphone placement.

  • Are table mics wired or wireless?

  • Is cabling underneath table properly supported and dressed? No hanging loops or service coils under table.

  • Take picture showing cable dressing.

  • Take a picture of mics arranged on the table and of the location of the base unit.

  • Are all ceiling mics suspended equally from ceiling or deck?

  • Take pic showing all ceiling mics

  • Perform a scratch test on all ceiling mics to ensure each mic is a passing signal (physically touch each microphone and listen for feedback). Is there any feedback?

  • Are all mics labeled correctly? Do the labels match the interface labeling? - Take photo(s) of labels on mics

  • Are all wireless microphone channels frequency coordinated? Ensure that new microphones are coordinated with existing microphones on site. (https://www.shure.com/en-US/support/tools/frequency-finder)

  • Take photo of each mic receiver showing different frequencies

  • Are table mics wired or wireless?

  • Is cabling underneath table properly supported and dressed? No hanging loops or service coils under table.

  • Take picture showing cable dressing.

  • Take a picture of mics arranged on the table and of location of base unit.

  • Are all ceiling mics suspended equally from ceiling or deck?

  • Take pic showing all ceiling mics

  • Perform scratch test on all ceiling mics to ensure each mic is passing signal.

  • Test the available headroom of each microphone by conducting a voice test with the system set to maximum level. Speak at an above normal level and verify that the system does not distort or feedback.

  • Microphones

Control Interface

  • Is there a control interface in the room? If not, take a picture of the remote and location of the remote.

  • Are all buttons on the interface functioning? If not, list in notes what is not functioning. - Run through the interface in its entirety, ensuring that all switching, metering, and muting are functioning. You must send all inputs to all outputs and maximize the system limitations.

  • Is the functionality of the interface intuitive? If not, add a description of the issue in the notes section.

  • Take a CLOSE-UP picture of EACH of the pages available if the interface is an iPad or Crestron TP (this includes power on/off pages, help pages, ETC). - If the interface is a button panel of any type, take a close enough picture so all button labels can be clearly read.

  • If there is a button panel being used?

  • Have the permanent labels been applied?

  • Do the button labels match the functionality?

  • Is the control interface mounted on the wall?

  • Is the control interface mounted level?

  • Take a picture of the control interface, with a focus on the bubble of a level.

  • Enter any additional notes here.

  • Control System

Room Schedulers

  • Does the room have a scheduler installed?

  • Is the scheduler mounted level?

  • Take a picture of the scheduler, with a focus on the bubble of a level.

  • Is the scheduler on-line and connected to the rooms calendar?

  • Has the project manager been notified?

  • Are the room availability indicators responding appropriately?

  • Room Schedulers

Rack Enclosures

  • Is there a rack where our equipment is installed for the system?

  • Is the rack installed in a credenza or a piece of furniture?

  • Has a Q-Fan (or similar) been installed in the credenza/furniture?

  • Take a picture of the fan, showing proper ventilation.

  • Give an explanation of why a fan is not needed/installed.

  • Take a picture(s) of credenza to show proper ventilation is already present.

  • Where is the rack located?

  • Does the rack have an Immedia service plate installed?

  • Is the service port connected to a network switch or processor?

  • Explain why the service port is not connected.

  • Verify that all AV cabling within the rack has been secured with only Velcro. Power cabling is the only wire type that is permitted to be secured with zip ties.

  • Take a picture showing that Velcro has been used.

  • Has the rack harness, that comes from the wall, been covered with snakeskin, and is there enough length to be able to service the rack.

  • Take a picture showing the harness service loop and the snakeskin.

  • Explain why snakeskin was not used.

  • Spot check multiple terminations. Do the terminations meet our installation standards?

  • Take pictures to show examples of the terminations.

  • Take a picture(s) showing any terminations that don't meet our standards.

  • Do all terminated category cables have boots installed? -

  • Take a photo of terminated cables with boots on them.

  • Verify that all Phoenix (captive screw) terminations, that have a zip-tie strain relief, have in fact been zip-tied.

  • Take a picture of some of the connections showing this.

  • Take a picture of any missing strain relief.

  • Have all power bricks and small devices been secured, in some fashion, to the rack so as to avoid falling out of the rack?

  • Does every DB-9 have a shell installed.

  • Take a picture of the installed shells

  • Take a picture of any DB-9 that is missing a shell.

  • Do all wires have a unique identifying label affixed. This includes power.

  • Take a picture of random cables showing affixed labels.

  • Take a picture showing missing labels.

  • Has the rack wiring not been dressed too tightly nor too loose?

  • Take a picture showing the dressing of the wires.

  • Has the rack been cleaned with no wire clippings, sawdust, or paperwork left behind?

  • Take a picture from far enough away that shows the cleanliness of the rack.

  • Take picture of the REAR of the rack to show the elevation and organization of the rack.

  • Take picture of the FRONT of the rack to show the elevation and organization of the rack.

  • Rack Enclosure

  • Is there a ceiling enclosure in the room?

  • Spot check multiple terminations. Do the terminations meet our installation standards?

  • Take a picture of a few examples of the terminations.

  • Take a picture(s) showing any terminations that do not meet our standards.

  • Have all power bricks and small devices been secured in some fashion to the rack so as to avoid having them fall out of the rack?

  • Does every DB-9 have a shell installed?

  • Take a picture of installed shells.

  • Take a picture of any DB-9 that is missing a shell.

  • Do all wires have a unique identifying label affixed. This includes power.

  • Take a picture of random cables showing affixed labels.

  • Take a picture showing missing labels.

  • Take a picture of the entire ceiling enclosure showing all gear.

  • Ceiling Enclosure

Administrative Items

  • Was the site left clean with all trash removed? (No boxes or parts in or around the rack)

  • Inspect all of the installed equipment for damage. Report any issues that you find.

  • Before submitting this report contact the Project Manager or Project Coordinator and verify that all project documentation has been properly submitted (red-lines/small parts transmittal/installation checklist etc.).

  • Enter any additional notes here.

  • Administration

Photos

  • Add any additional photos here.

Certification

  • Has room Passed or Failed Certification?

  • Is the failure of the certification due to an external circumstance? (furniture, client network, power requirements, etc.)

  • Describe Issue -

  • Does failed state affect functionality of room?

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.