Yes No No Yes
Power & Ground Requirements
     
AC ground supplied to outlet    
The power outlet located under 2m/6ft     
Select the type of power outlet    
Refer to "International Plug Pattern"  
 
Specify the power                     AC Volt:    
                                                       Amp :    
                                                Cycle  HZ:  
Video Conferencing StudioDeskVideo Conferencing StudioDesk OtherEnter other details belowOtherEnter other details below
RASSOHO(Small office, home office)WTS(Windows Terminal Server)RASSOHO(Small office, home office)WTS(Windows Terminal Server) Yes No Yes No Yes No
 Yes
 No
 
Is a twist lock connector required    
2  power circuit & breaker provided    
The breaker must be accessible all times    
Dedicated circuit breaker number  #    
Breaker clearly marked    
Is there any history of poor power    
regulation prior to this installation ?    
         Explain the nature of the problems    
     
 Yes No Spade Lug Barrier strip
 Others
 Yes No Yes NoChassis GND Signal GND GND connected to Building Steel
 None
 Battery
 Back up UPS
 
   
Will the equipment be connected to a UPS    
What type of ground connector is required    
     
All Power Supply must be Surge protected    
Telco / Line  be Surge protected    
Signal Ground and Power GND separated    
Secondary Power Considerations
Is there a backup UPS or battery?    
Capacity rating in AMP hours    
What type of battery is used (lead, gel )
 Trickle Charge  Hot Standby Circuit
 
 
Is the battery trickle charged or on STB cct    
Cabling Characteristics
 
  Customer   Contractor  Under floor   Overhead ladder  On the Wall
Back up PowerYesNoCapacity RatingTrickle ChargeHot Standby CircuitBattery Type
   Punch Blocks  Wire Wrap Blocks   Wirewrap   Punchdown  Patch Panels
Video Conferencing StudioDeskOtherEnter other details belowVideo Conferencing StudioDeskOtherEnter other details below  Existing To be constructed  Rack mounted  Desk mounted  Wall mounted  Cabinet mounted
RASSOHO(Small office, home office)WTS(Windows Terminal Server)RASSOHO(Small office, home office)WTS(Windows Terminal Server)NoYes Earthquake Fire  Flood
 
 
How are the cables being run
   
Who does inside wiring    
                                       Contact's Name :    
What are the demarcation points    
                                      Other ( Describe):    
What type of IDF/MDF are installed ?    
                                      Other ( Describe):    
How the router should be installed ?    
     
Remaining space on wall, rack - Dimension    
Are there any special protections    
                                      Other ( Describe):    
Environmental Considerations
 No No No No
 Yes Yes Yes Yes
 
Proper A/C Climate control    
A/C works 24/24 hrs, 7/7 day's    
Equipment place in clean, dry room    
electromagnetic radiation at 10'/3,1m