Title Page

  • Conducted on

  • Prepared by

  • Room Location / Number

  • Street address

  • Site Contact Name

  • Site Contact Phone Number

  • Install team Name

  • Install team Phone Number

Asset and Equipment Information

Video Conference System

  • Asset Tag Number

  • Model

  • Serial Number

  • Data outlet number

  • Switch port number

Touch Panel

  • Asset Tag Number

  • Serial Number

  • Data outlet number

  • Switch port number

Room Booking Panel

  • Asset Tag Number

  • Serial Number

  • Data outlet number

  • Switch port number

TV Screen - 1

  • Asset Tag Number

  • Brand

  • Model

  • Serial Number

TV Screen - 2

  • Asset Tag Number

  • Brand

  • Model

  • Serial Number

Installation Information

  • Decommissioning of old Equipment

  • Decommission equipment storage location

  • Installation of VC System

  • Installation of Touch Panel

  • Installation of Room Booking Panel

  • Installation of BYOD equipment

  • Installation of Ceiling Microphones

  • Installation of cable Grommet in table

  • Room Tidy Up

  • Disposal of New Equipment packaging

  • Other

Photographs

  • Note: several photos maybe added to each item on the list.

  • 1 - Room Entry (include Booking Panel and Room label)

  • 2 - From door to VC System

  • 3 - From Back of room to VC System

  • 4 - From front of room to back of room

  • 5 - Interfaces on codec indicating mapping of cables to display etc

  • 6 - Front View of System

  • 7 - 3rd Party AV equipment in room

  • 8 - Equipment mounted under meeting table

  • 9 - Ceiling Microphones

  • 10 - Other - 2

  • 11 - Cable trunking / cable velcro

  • 12 - Old equipment in storage room

Testing Checklist

Check Device Settings and review any issues on codec , Display or alternatively via the web interface diagnostics page

  • Speaker Levels

  • Microphone Levels

  • Test interfaces, note interface and map device being connected . Eg HDMI-1 to Display-1

  • Create calendar booking, include room and confirm OBTP

Place a call to L2 team for the duration of 20 minutes

  • Place external video call to the L2 support team.

  • Check audio and video both ways

  • Test Speaker tracking: Confirm camera detects and switched between active speakers and provides ideal framing

  • Check content sharing during video call

  • Confirm and note transmit and receive rates

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  • Does the room have hearing augmentation ?

  • Are the receivers Charging ?

  • Is the audio from the hearing system clear and free from distortion?

  • Are the receivers present ?

  • Does the room have BYOD mode?

  • Is HDMI working?

  • Is USB-C video Working?

  • Is USB-C BYOD Working? Camera and audio

Room Improvement and recommendations

  • Please note any recommendations in the field below, This may include the removal of surplus equipment, Safety hazards or issues encountered during the install process . Images can be attached using the paper clip icon.

  • Notes:

  • Add any relevant images here:

Sign off and completion

  • Technician's Notes: Please add any additional information here.

Supplier - installation Technician

  • Complete?

  • Date

  • Installation team

  • Installation team signature

Customer - Onsite acceptance

  • Complete?

  • Date

  • Customer Name

  • Customer signature

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.