Radio Coverage Test Report Form
Document the results of your radio coverage test. Please complete all sections of this Radio Coverage Test Report Form accurately.
Test Report ID
*
Site/Location Name
*
Test Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Tester/Operator Name
*
First Name
Last Name
Radio System or Frequency Band
*
Equipment Used (Make & Model)
*
Signal Strength Measurement (dBm)
*
Coverage Observations
*
Dead Spots or Interference Notes
*
Overall Test Result
*
Pass
Fail
Conditional Pass (see notes)
Submit Report
Should be Empty: