Security Surveillance System Assessment Checklist
Use this form to assess the condition, coverage, performance, and maintenance status of a security surveillance system.
Assessment Details
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Site / Location Name
*
System Identifier / Asset Tag
*
Assessor Name or Team
*
Coverage and Equipment Checklist
Camera coverage adequate
*
Yes
No
Camera lens condition
*
Good
Fair
Poor
Camera positioning
*
Correct
Needs adjustment
Night visibility / low-light performance
*
Pass
Needs improvement
Recording status
*
Recording properly
Intermittent issue
Not recording
Signage / monitoring presence
*
Warning signage posted
Monitoring notice visible
Both present
System Performance Evaluation
Image Quality Rating
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Live Monitoring Reliability
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Storage and Retention Adequacy
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Network and Connectivity Stability
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Power Backup Readiness
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Alert and Notification Responsiveness
*
Poor
Fair
Good
Very Good
Excellent
Not Applicable
Maintenance and Compliance Checks
Recent maintenance or inspection performed
Routine inspection
Cleaning completed
Firmware updated
Battery replaced
No recent maintenance
Other
Unresolved faults or issues observed
Compliant
Needs attention
Not inspected
Not applicable
Access to system settings appropriately restricted
Compliant
Needs attention
Not inspected
Not applicable
Privacy or monitoring policy issues observed
Compliant
Needs attention
Not inspected
Not applicable
Findings and Recommendations
Overall Assessment Result
*
Pass
Needs Improvement
Critical Issue
Priority Rating
*
Low Priority
1
2
3
4
5
6
7
8
9
High Priority
10
1 is Low Priority, 10 is High Priority
Comments and Recommendations
Submit Assessment
Should be Empty: