Access Control and CCTV System Assessment Checklist Form
Use this checklist to assess access control and CCTV system coverage, functionality, monitoring, and maintenance at a site.
Assessment Details
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Site / Location Name
*
Assessor Name or Department
*
Access Control Evaluation
Door/entry access control status
*
Compliant
Partially compliant
Non-compliant
Credential authentication method
*
Please Select
Card reader
PIN pad
Biometric reader
Mobile credential
Manual verification
Other
Visitor management process effectiveness
*
1
2
3
4
5
Are access permissions reviewed regularly?
*
Yes, on a scheduled basis
Yes, but irregularly
No
Not applicable
CCTV System Evaluation
CCTV inspection criteria
*
Rows
Excellent
Good
Fair
Poor
Not Applicable
Camera coverage
1
2
3
4
5
Image quality
6
7
8
9
10
Recording and storage status
11
12
13
14
15
Monitoring capability
16
17
18
19
20
Maintenance and uptime
21
22
23
24
25
Covered camera areas / zones
*
Observed CCTV issues
No issues observed
Intermittent recording loss
Poor night visibility
Blurry or low-resolution image
Camera misalignment / blind spots
Time or date not synchronized
Storage capacity warning
Monitor offline or not visible
Camera offline or disconnected
Physical damage or tampering
Inadequate maintenance
Other
Submit Assessment
Should be Empty: