Security Camera Status Indicator Check Form
Use this form to document the status of a security camera’s indicator lights and basic device health. All fields are designed for consistent reporting.
Camera Location or ID
*
Date and Time of Check
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Power Indicator Light Status
*
On
Off
Flashing
Not Applicable
Network Indicator Light Status
*
On
Off
Flashing
Not Applicable
Recording Indicator Light Status
*
On
Off
Flashing
Not Applicable
Device Health Status
*
Normal
Warning
Error
Temperature Status
Normal
High
Low
Unknown
Last Maintenance Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checked By (Name)
*
Additional Comments
Submit
Should be Empty: