GSD Tier 2 Room Survey Form
Tested By
*
Please select
Bill
Brian
Darrell
Dave
Hakim
Heikki
Josh
Kyle
Marcus
Maria
Mollie
Omar
PK
Rodney
Ron
Room
*
Please select
C 5-250 (24) (VC)
G 4-001 (48)
G 5-120 (30) (VC)
G 7-140 (21)
G 8-011 (42)
G 8-090 (36) (VC)
I 2-440 (22)
I 3-440 (25)
I 4-020 (30) (VC)
I 4-021 (13) (VC)
I 4-440 (20) (VC)
I 5-040 (34) (VC)
I 5-249 (17) (VC)
I 6-170 (24) (VC)
I 7-005 (8)
I 7-022 (30) (VC)
I 7-052 (4) (VC)
I 7-072 (8) (VC)
I 7-074 (8) (VC)
I 7-086 (19) (VC)
I 7-193 (15) (VC)
I 7-216 (28) (VC)
I 9-430 (7)
I 9-440 (22)
I 9-450 (6)
I 10-410 (8) (VC)
I 10-430 (6) (VC)
I 10-440 (19) (VC)
I 10-450 (8) (VC)
I 11-430 (9) (VC)
I 11-440 (11) (VC)
I 12-410 (9) (VC)
I 12-420 (36) (VC)
I 12-430 (11)
I 12-440 (20) (VC)
I B1-057
J 2-015 (25) (VC)
J 4-044 (42) (VC)
J 4-101 (19) (VC)
J 5-042 (11) (VC)
J 6-047 (17)
J 6-050 (36) (VC)
J 6-160 (19) (VC)
J 7-044 (40) (VC)
J 7-075 (16) (VC)
J 7-131 (14) (VC)
J 7-160 (20) (VC)
J 8-044 (40)
J 8-077 (16) (VC)
J 8-160 (24) (VC)
J 9-023 (18) (VC)
J 9-044 (39)
J 9-160 (19) (VC)
J 10-073 (12) (VC)
J 10-133 (20) (VC)
J 10-160 (20) (VC)
J 11-155 (15) (VC)
MC 2-436 (10)
MC 2-520 (24) (VC)
MC 2-850 (31) (VC)
MC 3-500 (24) (VC)
MC 3-570 (30)
MC 3-850 (24) (VC)
MC 4-300 (27) (VC)
MC 4-401 (10)
MC 4-500 (14)
MC 4-715 (22)
MC 5-300 (17)
MC 5-401 (10)
MC 5-500 (26) (VC)
MC 5-598 (18)
MC 5-715 (17)
MC 6-300 (18) (VC)
MC 6-401 (10)
MC 6-500 (21)
MC 6-715 (18)
MC 6-860 (24) (VC)
MC 7-300 (24) (VC)
MC 7-370 (31) (VC)
MC 7-401 (10)
MC 7-500 (24) (VC)
MC 7-570 (20) (VC)
MC 7-603 (24) (VC)
MC 7-715 (21)
MC 7-772 (20) (VC)
MC 7-860 (40) (VC)
MC 8-171 (8)
MC 8-300 (25) (VC)
MC 8-401 (10)
MC 8-500 (24)
MC 8-736 (24) (VC)
MC 9-300 (20)
MC 9-367 (12)
MC 9-401 (10)
MC 9-414 (15)
MC 9-500 (20) (VC)
MC 9-518 (10)
MC 9-570 (16)
MC 9-572 (27) (VC)
MC 9-715 (13) (VC)
MC 10-130 (23) (VC)
MC 10-300 (24) (VC)
MC 10-715 (14) (VC)
MC 11-300 (21)
MC 11-401 (10)
MC 11-500 (29)
Is The Room Clean?
Yes
No (But I notified Conference Services x82000 to have room cleaned)
Are The Cables In The Room Neat/Organized?
Yes
No (But I took the time to fix the issue)
Test Audio Conference Line (Calling Out & Recieving Calls)
Working
N/A
Other
Test VC in/out
Working
N/A
Other
VC Content (Sending) Test
Working
N/A
Other
VC Content (Receiving) Test
Working
N/A
Other
Camera Test (zoom, pan/tilt, focus, iris.)
Working
N/A
Other
Floor Box/Wall Plate Test (Test All Audio/Video Connections Within Floor Boxes/Wall Plates)
Working
N/A
Other
Microphone Test (Test All Mics In Room)
Working
N/A
Other
Projector/Display Test (Check All Inputs Into Projector or Display)
Working
Other
Lamp Hours
Over 1500 Hours, Submit a FreshDesk Ticket w/Make and Model of Projector
Filter Hours
Over 1500 Hours, Submit a FreshDesk Ticket w/Make and Model of Projector
Facilities Notes
Please note any kind of facilities issues that may need to be fixed. These can include floor boxes that need fixing, lights that need replacing, paint that needs freshening, etc.
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