Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date & time of visit

  • Date of last service

General

  • Log book present

  • Log book up to date

  • Any changes to building structure since last visit

Control panels

  • Pan control.

  • Tilt controls.

  • Lens functions.

  • Wash functions.

  • Wiper functions.

  • Aux lighting.<br>

Monitors

  • Is general condition of monitors ok?

  • Is the correct monitor size installed for the required viewing distance?

  • Photo of equipment

Control equipment

  • Multiplex encoding

  • Multiplex decoding

  • Video switcher

  • Photo of equipment

Digital video recorder / multiplexer

  • Make & model number

  • Hard drive size

  • Days / hours recording

  • FPS Setting

  • Ensure original installation disks are available

  • Check air vents are clear (if possible)

  • Photo of equipment

PC Based systems

  • Ensure original installation disks are available

  • Check for disc damage

  • To speed up functions, detragment hard disk

  • Clean PC surfaces

  • Check air vents are clear (if possible)

  • Run diagnostic check

  • Establish regular back ups are taken

  • Check PC for adequate ventilation

  • Photo of equipment

Cameras

Camera 1

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Data transmission method

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 2

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Data transmission method

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 3

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 4

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 5

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 6

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 7

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 8

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 9

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 10

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 11

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 12

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 13

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 14

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Check any seals

  • Check any seals

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 15

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Camera 16

  • Type

  • Make & model

  • Any alarms connected?<br>If yes how many

  • Telemetry protocol

  • Operation of presets

  • Check fixings

  • Check flexible connections

  • Heater operation

  • Condition of wiper

  • Water resevoir

  • Viewing window clean

  • General condition of bracket or tower

  • Operation of limit switches

  • Electrical connections & power supply condition

  • Check any auxiliary lighting

  • Check operation of photocell

  • Photo of camera

Transmission systems

  • Make & model of equipment

  • Name of ARC

  • Check general assembly

  • Check video connections

  • Check transmitter

  • Check received picture quality with ARC

  • Check alarms against cameras

  • Check audio quality

Final notes & comments

  • Any notable variations to the standard <br>If yes, please state reason

  • Any remedial works recommended<br>If yes, please state<br>

  • Provide sketch of any specific areas

Sign off

  • I confirm the above works have been carried to my satisfaction

  • Signed engineer

  • Signed customer

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.