Title Page

  • Site conducted

  • Job Number

  • Site Name

  • Site Location

Activity

Site Activity

  • What works are being undertaken?

  • CCTV Works
  • Device Name/Number & Location

  • S/N

  • MAC Address

  • IP Address

  • Picture(s) of device and views

  • Switch Name and Port Number used

  • Picture(s) of Switch

  • Confirmation that camera view is agreed and accepted

  • New or Existing NVR

  • S/N

  • MAC Address

  • IP Address

  • Picture(s) of NVR

  • Switch Name and Port Number used

  • Picture(s) of Switch

  • S/N

  • Picture(s) of NVR

  • Audio Visual Works
  • Room or Office Name

  • Details of works carried out including any serial numbers of hardware installed

  • Picture(s) of works carried out

  • Cabling Works
  • Type of Install?

  • Room Name or Number

  • Picture(s) of Data Outlets installed

  • Room or Cabinet Location

  • Picture(s) of installation

  • Detail of works undertaken

  • Picture(s) of works undertaken

Cabling Acceptance

  • Picture(s) of Fluke Test Results

  • Picture(s) of Patched Switches

  • Picture(s) of Data Cabinet(s)

  • Which new outlets have been patched into which switch ports?

Sign-Off Confirmation

Confirmation & Signatures

  • Site Representative - Print & Sign

  • Site Representative's Title

  • Engineer Name

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.