PROJECT NAME & LOGOS

CHECK LIST FOR:

Video surveillance system (CCTV)Testing and commissioning Form No:
(Commissioning Report) Rev. No : 0
Page : 1 of 2
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK: Electrical LOCATION:
LEVEL: WIR No.:

Details
Manufacturer :
Building Name:
HEAD END (RACK EQUIPMENTS)
Check Yes No Comments
Installation of Termination Patch Panel
Proper identification of cables
Proper termination of CCTV cables
Proper termination of power cables
Installation of CCTV Switches
Installation of UPS if required
Labeling of CCTV Switches, UPS, Cableing
Installation of Backbone cabling
FIELD & NETWORK DEVICES
Check Yes No Comments
Status of Vedio Management System
Status of CCTV Network Storage
Status of Operator Work Station
Status of Video Wall Screen / Displays
(Monitors)
Status of Network Switch (EDGE & CORE)
Status of the UPS
Status of Camera Streaming/Viewing on Control
Room
SYSTEM POWER SUPPLY

a ) Primary (main) : Nominal voltage ___230_____ Amps__________

Location (Primary Supply Panel Board)

b) Secondary (Standby) :

_______________Storage Battery : Amp _________Hr. Rating ____________

Calculated capacity in _____________Amp_______ Hr to operate system for _________

Type of Battery :

Page 1 of 2
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Consultant Date:
QA/QC: Rep.:

Name: Sign: Name: Sign: Name: Sign:

 PROJECT NAME & LOGOS

CHECK LIST FOR:

Video surveillance system (CCTV)Testing and commissioning Form No:
(Commissioning Report) Rev. No : 0
Page : 2 of 2
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK: Electrical LOCATION:
LEVEL: WIR No.:

CHECK LIST : PRIOR TO ANY TESTING

Description Yes No Comments
Notifications are made to
Building Occupants

Building Management

Others (specify)
SYSTEM TESTS AND INSPECTIONS
Type Visual Functional Comments
Head End Equipments

Interface with Third Part System

Primary Power Supply

SECONDARY POWER

UPS condition
THE FOLLOWING DID NOT OPERATE CORRECTLY
_________________________________________________________________________________________________________
SYSTEM RESTORED TO NORMAL OPERATION
Date _______________________ Time________________________

Page 2 of 2
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Consultant Date:
QA/QC: Rep.:

Name: Sign: Name: Sign: Name: Sign: