CCTV Site Survey Form

Installer ............................................Contact..............................................Tel/Mobile ..................................

Wholesaler........................................Contact..............................................Contact no..................................
Job Ref. ............................................................................................................................................................
Camera Information
Observation Recognition Identification
An average person fills a minimum An average person fills a minimum An average person fills a minimum
of 10% of the screen. This image is of 50% of the screen. This image is of 120% of the screen. This image is
suitable for monitoring movement in suitable for recognition purposes. suitable for identification purposes.
a general area. This area should not This area should not exceed This area should not exceed
exceed 20 metres width. 7 metres width. 2 metres width.

Is Infra Red Observation, Width of area Distance to Cable run to

Camera Indoors or Camera type
Location Lighting recognition viewed object viewed control room
number Outdoors preference
required? or ID view? (mtrs) (mtrs) (mtrs)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

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

Control Room Information

None Internal LAN Network Internet Mobile Telephone
Remote Access Requirements:

Own New Router programming Other details

router router assistance required
Internet/Mobile Details: used required

1 day 3 days 1 week 2 weeks 1 month Other

How long are recordings to be kept?

How many pictures per second? 1PPS 5PPS 10PPS 25PPS Alarm or continuous recording

(each camera)

Days/hours per week to record? Number of Monitors required?

Other specific requirements:

Survey form completed by: Date:

Information above certified correct by: Date:

 Further Information

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