Information

  • Document No.

  • Name of Business

  • Location
  • Conducted on

  • Prepared by

  • Picture of Business

Intial Assessment

Premises Details

  • Date & Time

  • Name of Business

  • Address or Location
  • Telephone Number

Opening Hours

  • Days

  • Weekdays

  • Saturday

  • Sunday

Contact Details

  • Name

  • Telephone Number

  • E-Mail

Nature of Visit

  • Looking for a new system

  • Looking to expand current system

  • Looking to replace current system

Current CCTV Status

  • CCTV Already Insalled

  • No of Cameras

  • Already Have DVR

  • DVR Information

  • Make

  • Model

  • Network Ready

  • Have a router

  • Router Information

  • Make

  • Model

  • Static IP

  • Have Dynamic DNS

  • Does the premises have a video output.

  • How many outputs

New Installation

DVR

  • New DVR

  • How many channel DVR

  • DVR storage requirements

  • Hard disk size

  • Will remote viewing be required

  • Will microphone be required

  • Will playback be required on a smartphone

  • Will spot out be required

  • Will a CD/DVD writer be required for backup

  • Will CD/DVD be required

  • What type

  • How many

Cameras

  • Keep old cameras from the previous system

  • How many

  • Please note: Warranty will not be covered for the old cameras and equipments

  • How many new cameras are needed

  • Require PTZ cameras

  • How many

  • System application

  • Location of cameras

  • How many interior cameras

  • How many parking cameras

  • How many surrounding cameras

  • How many hallway cameras

  • How many interior building cameras

  • How many other cameras

  • Please specify

  • Lighting

Displays

  • Will a display be required

  • Type of display

  • How many TV required

  • How many monitor required

  • Size of Display

Warranty

DVR

  • Make

  • Model

  • Serial No

  • Warranty end date

Cameras

    Type
  • Make

  • Model

  • TV Lines

  • Vandal Proof

  • How many cameras

  • Camera
  • Serial No

  • Warranty end date

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.