Title Page
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Site conducted
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Job Number
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Site Name
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Site Location
Activity
Site Activity
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What works are being undertaken?
CCTV Works
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Device Name/Number & Location
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S/N
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MAC Address
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IP Address
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Picture(s) of device and views
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Switch Name and Port Number used
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Picture(s) of Switch
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Confirmation that camera view is agreed and accepted
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New or Existing NVR
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S/N
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MAC Address
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IP Address
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Picture(s) of NVR
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Switch Name and Port Number used
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Picture(s) of Switch
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S/N
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Picture(s) of NVR
Audio Visual Works
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Room or Office Name
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Details of works carried out including any serial numbers of hardware installed
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Picture(s) of works carried out
Cabling Works
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Type of Install?
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Room Name or Number
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Picture(s) of Data Outlets installed
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Room or Cabinet Location
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Picture(s) of installation
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Detail of works undertaken
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Picture(s) of works undertaken
Cabling Acceptance
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Picture(s) of Fluke Test Results
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Picture(s) of Patched Switches
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Picture(s) of Data Cabinet(s)
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Which new outlets have been patched into which switch ports?
Sign-Off Confirmation
Confirmation & Signatures
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Site Representative - Print & Sign
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Site Representative's Title
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Engineer Name