Broadcast Technology Equipment Assessment
Evaluate and document the condition and performance of broadcast technology equipment during routine inspections.
Assessor Name
*
First Name
Last Name
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Type
*
Please Select
Transmitter
Receiver
Antenna
Audio Console
Camera
Monitor
Other
Equipment Make and Model
*
Serial Number
*
Equipment Location
*
Operational Status
*
Fully Operational
Partially Operational
Not Operational
Performance Assessment
*
Rows
Excellent
Good
Fair
Poor
Signal Quality
1
2
3
4
Audio/Video Output
5
6
7
8
Connectivity
9
10
11
12
Power Supply
13
14
15
16
Recent Maintenance Performed
*
Yes
No
Issues Identified (if any)
Recommended Actions
Overall Equipment Rating
*
1
2
3
4
5
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