IT Site Survey Checklist Form

Site Name

Site Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Site Contact Name

First NameLast Name

Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Network Infrastructure Present

Power and Cooling Status

Equipment Inventory (briefly list key equipment present)

Cabling Type

Physical Security Measures

Additional Notes or Issues Observed