Immedia System Certification: Discrepancy Report

• Job Name & Job Number

• Date Certification Attempted:

  Date

• Certification Attempt Number:

• Certified By:

• Project Manager:

• Programmer:

• Lead Installation Technician:

Discrepancies

• Discrepancy Description #1:

• Room Name:

• Is discrepancy Program or Install?

  Program

  Install

• Corrective action taken if any:

• Does this discrepancy prohibit the system from functioning? Take applicable photo showing the discrepancy:

  Yes

  No

  Somewhat

• Is there another discrepancy?

  Yes

  No

• Discrepancy Description #2:

• Room Name:

• Is discrepancy Program or Install?

  Program

  Install

• Corrective action taken if any:

• Does this discrepancy prohibit the system from functioning? Take applicable photo showing the discrepancy:

  Yes

  No

  Somewhat

• Is there another discrepancy?

  Yes

  No

• Discrepancy Description #3:

• Room Name:

• Is discrepancy Program or Install?

  Program

  Install

• Corrective action taken if any:

• Does this discrepancy prohibit the system from functioning? Take applicable photo showing the discrepancy:

  Yes

  No

  Somewhat

• Is there another discrepancy?

  Yes

  No

• Discrepancy Description #4:

• Room Name:

• Is discrepancy Program or Install?

  Program

  Install

• Corrective action taken if any:

• Does this discrepancy prohibit the system from functioning? Take applicable photo showing the discrepancy:

  Yes

  No

  Somewhat

• Is there another discrepancy?

  Yes

  No

• Discrepancy Description #5:

• Room Name:

• Is discrepancy Program or Install?

  Program

  Install

• Corrective action taken if any:

• Does this discrepancy prohibit the system from functioning? Take applicable photo showing the discrepancy:

  Yes

  No

  Somewhat