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Site Surveys
Date Of Site Survey
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Institution Name
*
Contact Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Reason for site survey
Data Center
Internet Service Provider (ISP)
*
Select
Comcast
Verizon
Time Warner
Other
We evaluated the Data Center?
*
Yes
No
Data Center Items (Check the ones Present)
Router
Firewall
Server
Server Rack
Patchbay
Backup Unit / Server
Switch
APC or Power Backup Unit
Cabling Type
Select
Cat5
Cat5e
Cat6
Coaxial
None
Cabling High and Low voltage
Need wall block (plywood)
Power outlets needed
Channel Runs
Inside wall drop
Ceiling drop
Outside drop
Data Center Notes
Wireless System
We evaluated the Wireless System?
*
Yes
No
Wireless System Units
Select
Firewall
Router
Access Points
Wireless System Notes
Cabling High and Low voltage
Need wall block (plywood)
Power outlets needed
Channel Runs
Inside wall drop
Ceiling drop
Outside drop
Phone System
We evaluated the Phone System?
*
Yes
No
Phone System Type (Choose One)
Select
PBX
VOIP
Other
PBX Type?
VOIP Type?
Other Type?
Cabling High and Low voltage
Need wall block (plywood)
Power outlets needed
Channel Runs
Inside wall drop
Ceiling drop
Outside drop
Phone System Notes
Office & Classroom Technology Infrastructure
We evaluated Office, classroom or church Technology Infrastructure?
Yes
No
Number of rooms?
Number of Computers?
Type of Desktops List?
Type of Laptops List?
Number of Laptops?
Type of Tablets?
Number of Tablets?
Number of Smartboards?
Number of eBeams?
Type of Flat screens List?
Number of Flat screens?
Type of Projectors?
Number of Projectors?
Network Printer/Copier type?
Number of Network printer/Copier
Cabling High and Low voltage
Need wall block (plywood)
Power outlets needed
Channel Runs
Inside wall drop
Ceiling drop
Outside drop
Office/Classroom Notes
Camera System
We evaluated the Camera System?
Yes
No
Type of Camera Connections?
Select
Coaxial
Wireless
IP (Ethernet Connection)
Camera Manufacturer
Number of Camera's?
Camera Monitoring Stations Locations?
Cabling High and Low voltage
Need wall block (plywood)
Power outlets needed
Channel Runs
Inside wall drop
Ceiling drop
Outside drop
Camera System Notes:
Picture & Document uploads
Data Center/Server Room
Router
Firewall/Router
Access Point
Hub Closet
Hub Closet
Classroom Network Jack
Building Diagram
Site Survey Related Documents
Site Survey Related Documents
In Archive
June 2013
October 2012
