CCTV Site Survey Form

Installer ............................................Contact..............................................Tel/Mobile .................................. Wholesaler ........................................Contact..............................................Contact no.................................. Job Ref. ............................................................................................................................................................

Camera Information
Observation An average person fills a minimum of 10% of the screen. This image is suitable for monitoring movement in a general area. This area should not exceed 20 metres width. Recognition An average person fills a minimum of 50% of the screen. This image is suitable for recognition purposes. This area should not exceed 7 metres width. Identification An average person fills a minimum of 120% of the screen. This image is suitable for identification purposes. This area should not exceed 2 metres width.

Camera number
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Location

Indoors or Outdoors

Is Infra Red Observation, Width of area Distance to Cable run to Camera type Lighting recognition object viewed control room viewed preference required? or ID view? (mtrs) (mtrs) (mtrs)

If a standard fixed camera is not suitable, or non standard camera mounting is required, please indicate requirements below.

Control Room Information
Remote Access Requirements:
None Internal LAN Network Internet Mobile Telephone

Internet/Mobile Details:

Own router used

New router required

Router programming assistance required

Other details

How long are recordings to be kept? How many pictures per second? (each camera) Days/hours per week to record? Other specific requirements: Survey form completed by: Information above certified correct by:

1 day

3 days

1 week

2 weeks

1 month

Other

1PPS

5PPS

10PPS

25PPS

Alarm or continuous recording

Number of Monitors required?

Date: Date:

Further Information Please complete and return to Audio Visual Security via Fax: 01253 791887 or email sales.uk .co.avs@adivision.

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