Title Page

  • Site Address
  • Client / Site

  • QVIN

  • Job Information

  • Commenced on

  • Prepared by

Camera Information

  • Camera Installed

  • Camera
  • Camera Location/Name with in the system
  • Date and Time of Checks

  • Camera Manufacturer

  • Camera Model

  • Camera Type e.g Pan and Tilt, Fixed, Speed Dome

  • IP Address

  • Is the camera viewing the desired protected area?

  • Snapshot of the protected Area

  • MAC Address

Evidence of Cameras Installation

  • Photo of camera in its installed position

Basic Web-browser Based Camera Checks

  • Does the camera pan function operate correctly

  • Does the camera zoom function operate correctly

  • Does the camera tilt function operate correctly

Camera Presets

  • Does this camera have any presets configured?

  • Camera presets

  • Preset
  • Snapshot of preset.

  • No camera presets have been configured.

Customer Sign Off

Sign Off

  • Add 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.