Information

  • Order Number

  • Customer

  • Address
  • Conducted on

  • Prepared by

  • Local Customer Contact

Light Levels & Testing

  • At LGX

  • At equipment

  • Test Results (Attach results to CPE page with this PDF)

Power and Equipment

  • What is the ground reading?

  • Is this AC or DC power?

  • Is this on a SL owned UPS?

  • Location of Gear: RR or Room

  • Pictures

  • Make/Model of Gear Installed

  • Customer Handoff Port

  • Is the handoff Optical or Electrical?

  • Is the Handoff port clearly labeled or marked?

  • Who is responsible for the handoff cable?

  • Gate Code

Enterprise only

  • Was a CAT5 jumper left in place?

Other

  • Asset Tags and Serial Numbers

Additional site comments

  • Any additional site comments?

Sign Off

  • Installer's 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.