YesYes
 Building Access Description
    NoNo
 
Parking for I & M Staff[1]    
Can after hours access be arranged ?[2]    
Coordinated through who ?    
Escort requiredYesNoVideo Conferencing StudioDeskOtherRASSOHO(Small office, home office)WTS(Windows Terminal Server)Enter other details below  Guard or 24 hour staff   Locked equipment room   Access procedures   Elevator ?   Ramps ?   Unobstructed entry ?Video Conferencing StudioDeskOtherRASSOHO(Small office, home office)WTS(Windows Terminal Server)Enter other details below   Owned   Leased(Select box with mouse and click)
Yes No
Are specific security procedures
   
to be followed ?    
     
Is a loading dock available [3]    
     
Is building / Location    
Equipment Room Characteristics
 Telephone access in equipment room    
                                                Number #  
No     Raised     ConcreteYes
  Computer roomTelecom room   Wiring closet  Warehouse
NoYes Is carpet static free ?  Is antistatic padding in useYes NoYes No
Video Conferencing StudioDeskVideo Conferencing StudioDesk NoYes
OtherEnter other details belowOtherEnter other details below
 
Provide a floor plan     
Floor Type    
                                   Others ( Describe ) :    
     
Type of environment room    
                                      Other ( Describe):    
Is the floor carpeted ?    
     
Dedicated Analog Phone Line    
                                        Installation date :    
                      Analog Telephone Number :    
Termination for Phone within 6ft of CPE    
                                        Distance in feet :    
Is CSU / DSU installed    
                                       Installation date :    
                                       Interface type :   RASSOHO(Small office, home office)WTS(Windows Terminal Server)RASSOHO(Small office, home office)WTS(Windows Terminal Server)Yes No
 
CARRIER circuit Installed    
                        Installation date :    
                        PTT Circuit ID#  
Yes  No
Yes NoYes No
 
Termination for circuit within 6ft of CPE    
                        Distance in feet :    
Dedicated ISDN Line    
                                        Installation date :    
                                            ISDN Number :    
     Termination for ISDN within 6ft of CPE    
                                        Distance in feet :    

[1]
Parking place for the
Installation and Maintenance staff

[2]
If an access is needed for maintenance
after the working hours, who must be contacted to perform the job
[3]
If an equipment must be moved, check if
you have place or possibilities to do it