Site Acceptance Test Form
Complete this form to document site inspection, test results, and obtain acceptance approval.
Project/Site Name
*
Project/Site Location
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Client/Owner Representative Name
*
First Name
Last Name
Contractor/Installer Representative Name
*
First Name
Last Name
Inspection/Test Items
*
Rows
Pass/Fail
Comments
Site Access and Security
1
Equipment Installation
2
Power Supply Verification
3
Network Connectivity
4
Safety Compliance
5
Documentation Provided
6
Functionality Test
7
Cleanliness and Site Condition
8
Were any deficiencies or issues found during the inspection?
*
No deficiencies found
Yes, deficiencies were found (see comments)
If deficiencies were found, please list corrective actions taken or required.
Overall Site Acceptance Status
*
Accepted – No Action Required
Accepted – With Minor Deficiencies
Not Accepted – Major Deficiencies
Additional Comments or Notes
Client/Owner Representative Signature
*
Contractor/Installer Representative Signature
*
Submit Site Acceptance Form
Submit Site Acceptance Form
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