| Date | Inspector Name | ||
|---|---|---|---|
| Location | |||
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Camera lens clean and free of obstructions | |||
| Camera mount securely fixed | |||
| Wiring and connections intact | |||
| Infrared/night vision functioning | |||
| Clear view in camera feed | |||
| Recording and playback operational | |||
| Camera angle and position correct | |||
| Signage indicating surveillance (if required) |