Network Site Survey Checklist Form
Complete this checklist to assess the site's readiness for network installation and identify any issues or requirements.
Site Name or Location
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is physical access to the site available?
*
Yes
No
Limited
Power Source Availability
*
Adequate and reliable
Available but unstable
Not available
Environmental Conditions (Temperature, Humidity, Dust)
*
Rows
Excellent
Acceptable
Poor
Temperature
1
2
3
Humidity
4
5
6
Dust/Contaminants
7
8
9
Existing Cabling Infrastructure
*
Structured and labeled
Unstructured or unclear
No existing cabling
Network Equipment Placement Suitability
*
1
2
3
4
5
Wireless Signal Strength (if applicable)
*
Strong
Moderate
Weak or none
Not applicable
Safety Concerns Present?
*
None observed
Minor (not urgent)
Major (requires attention)
Additional Notes or Observations
Submit Survey
Should be Empty: