REPORT FOR CCTV

Customer Model
Date Time Serial Number
Status Maintenance (√ ) On Call ( ) Start Up & Commissioning ( ) Warranty ( )

ITEM CHECKED
NO KETERANGAN PENGUKURAN QTY STATUS REMARKS
Monitor CCTV
1 Supply Tegangan …………………………………………………V
2 Kaca Layar Monitor
3 Braket Monitor
4 Jumlah Tampilan
5 Kualitas Tampilan
6 Konektor Monitor
7 Kabel Power Monitor
Video Recorder Digital (DVR)
1 Power DVR ………….V ………….V ………….V
2 Kapasitas Hardisk
Total Kapasitas ……………… ……………… ………………
Kapasitas Terpakai ……………… ……………… ………………
Kapasitas Tersedia ……………… ……………… ………………
Back UP / Tidak Back UP
3 Konektor RF/BNC

4 Kabel Coaxial

5 Kabel………………………………………………………………………………………
CCTV Camera
1 Jenis Camera
Fixed Dome ……………………………………….Vdc
IP Camera ……………………………………….Vdc
Wireless Camera ……………………………………….Vdc
Pan/ Tilt/ Zoom Camera ……………………………………….Vdc
2 Fisik Unit
Fixed Dome ……………………………………….Vdc
IP Camera ……………………………………….Vdc
Wireless Camera ……………………………………….Vdc
Pan/ Tilt/ Zoom Camera ……………………………………….Vdc
3 Fokus Lensa
Fixed Dome ……………………………………….Vdc
IP Camera ……………………………………….Vdc
Wireless Camera ……………………………………….Vdc
Pan/ Tilt/ Zoom Camera ……………………………………….Vdc

4 Braket Camera

5 Konektor Camera
Adapter dan Power Supply
1 Tegangan Input ……………………………………….Vdc
2 Tegangan Output ……………………………………….Vdc

3 Fisik Unit

Note By PT Abadiri Pradipa Baraka : Note By Customer :

Dibuat oleh : Mengetahui :

Technician / Engineer Customer Acknowledgement

Nama Nama
Tanggal Tanggal
1.Keuangan APB (Putih) 2.Customer (Merah) 3.Teknisi APB (Kuning)