Mary Mcdonald Activity CCTV PM

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Digital Video Recorder

• Please add an Digital Video Recorder

Digital Video Recorder

• DVR Description

• DVR Location

• DVR Make & Model

• Serial No / Asset Tag

• No of cameras connected

• Recording Duration

• Backup & Updates

  Yes

  No

  N/A

• Playback and Export of Footage

  Yes

  No

  N/A

• Photo of the DVR

  Media

Cameras on System

• Camera1 Pelco CCC1390H-EX S/N: 20038218
  

• Check PTZ, Focus, AutoIris function

  Yes

  No

  N/A

• Camera Access Height (Ft)

  Yes

  No

  N/A

• Photo of the camera image

  Media

• Camera 2 Pelco CCC1390H-EX S/N: AE001451A

• Check PTZ, Focus, Auto Iris functions

  Yes

  No

  N/A

• Camer Access Height (FT)

  Yes

  No

  N/A

• Photo of the camera image

  Media

• Camera 3 Pelco CCC1390H-EX S/N: 20030150

• Check PTZ, Focus, AutoIris functions

  Yes

  No

  N/A

• Camera Access Height (FT)

  Yes

  No

  N/A

• Photo of the camera image

  Media

• Camera 4 Pelco CCC1390H-EX S/N: 20036098

• Check PTZ, Focus, AutoIris Functions

  Yes

  No

  N/A

• Camera Access Height (FT)

  Yes

  No

  N/A

• Photo of the camera image

  Media

• Camera 5 Pelco CCC1390H-EX S/N: 20039056

• Check PTZ, FOCUS, AutoIris Functions

  Yes

  No

  N/A

• Camera Access Height (FT)

  Yes

  No

  N/A

• Photo of the camera image

  Media

• Camera 6 Pelco CCC1390H-EX S/N: 20038118

• Check PTZ, FOCUS, AutoIris Functions

  Yes

  No

  N/A

• Camera Access Height (FT)

  Yes

  No

  N/A

• Photo of the camera image

  Media

• Physical Inspection Check & Cleaning of Equipment

  Yes

  No

  N/A

• Technicians Signature

  Sign

• Clients Signature

  Sign

• Date of PM and Time Completed

  Date

• Completed