Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Note: on all question sections as well as providing a response you can also provide more details and attach assessment photos where applicable.

Customer Information

  • Site Contact Person

  • Customer Name

  • Site Address
  • Date of Walkthrough

  • How many people are at this site?

  • What is the property size or area at this site (Acres)?

ISP

  • What is the current Internet speeds?

  • Less than 10Mbps

  • 10Mps - 15Mbps

  • 25Mbps - 40Mbps

  • 40Mbps - 70Mbps

  • Above 70Mbps

  • Internet Service Provider

  • Connection Type

  • Is the connection plugged into the: VDSL Port directly into the Firewall/Router Or Modem then Firewall WAN port. Add media!

  • Line Activated

  • Router IP

  • IP Range: eg. 81.27.106.5/8 usable 6/8

  • Subnet

  • DNS Servers

  • Is the connection plugged into the: ADSL Port directly into the Firewall/ Router Or Modem / Router then Firewall WAN port. Add media!

  • Line Activated

  • Router IP

  • IP Range: eg. 81.27.106.5/8 usable 6/8

  • Subnet

  • DNS Servers

  • Connection Type:

  • Is the connection is plugged into the: ADSL Port directly into the Firewall/ Router Or Modem / Router then Firewall WAN port. Add media!

  • Line Activated

  • Router IP

  • IP Range: eg. 81.27.106.5/8 usable 6/8

  • Subnet

  • DNS Servers

  • Is the connection is plugged into the: VDSL Port directly into the Firewall/Router Or Modem then Firewall WAN port. Add media!

  • Line Activated

  • Router IP

  • IP Range: eg. 81.27.106.5/8 usable 6/8

  • Subnet

  • DNS Servers

Preliminary Site Evaluation

  • Brand

  • Number of cameras to be installed

  • Choice of camera (dome, bullet, or PTZ)

  • Bullet

  • Dome

  • PTZ

  • Other

  • Proximity to a power source

  • Critical Coverage Areas: Identify the most vulnerable spots

  • Camera coverage (e.g. driveway, backyard, etc)

  • Camera #1

  • Camera #2

  • Camera #3

  • Camera #4

  • Camera #5

  • Camera #6

  • Camera #7

  • Camera #8

  • Camera #9

  • Camera #10

  • Camera #11

  • Camera #12

  • Camera #13

  • Camera #14

  • Camera #15

  • Camera #16

  • Camera placement

  • Camera angle

  • Lighting conditions

  • Blind spots identified

  • List blind spot

  • Both indoors and outdoors

  • Indoors only

  • Outdoors only

  • Does customer want outdoor camera to have built-in lights?

  • Camera location #1

  • Camera location #2

  • Camera location #3

  • Drone map detailing boundaries and pertinent features

Physical Security

  • Does the site have active access controls?

  • Security guard(s)

  • Dogs

  • Key Locks

  • Biometrics

  • Electronic Card Swipe

  • Other

  • Are there intrusion alarms installed at site?

  • Are there panic/emergency alarms installed at the site?

  • Are the intrusion alarms monitored by an external central monitoring company?

  • Are uniformed security guards utilized at any of these sites?

  • Are the streets or parking areas illuminated in the evening?

  • Is the site near or connected to other neighbours?

  • Do employees wear official corporate photo ID while on site?

  • Are all non-employees/visitors escorted while within the site?

  • Are employees or supervisors instructed to challenge any person not wearing photo ID or not being escorted by a badged company person?

  • Current site security?

  • Key locks (doors, gate, etc)

  • Exit(s)

  • Operation floors

  • Office areas

  • Other

Services & Accessories

  • Stun Gun

  • Panic Button

  • Door & window alarm

  • Professional services

  • Rapid response (comes with professional services)

Environmental Notes:

  • Does the room have good air flow?

  • Is there adequate power in the room?

  • Are there spare networking points in the building?

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.